Provider Demographics
NPI:1457589434
Name:ROBINSON, RICKY DAVID (HEARING INST SPECIA)
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:DAVID
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:HEARING INST SPECIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 WASHINGTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-3871
Mailing Address - Country:US
Mailing Address - Phone:706-868-8862
Mailing Address - Fax:706-868-6662
Practice Address - Street 1:3328 WASHINGTON RD STE D
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3871
Practice Address - Country:US
Practice Address - Phone:706-868-8862
Practice Address - Fax:706-868-6662
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADS000826174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist