Provider Demographics
NPI:1700992633
Name:ZABENKO, ROBERT T (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:ZABENKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HERMITAGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-3834
Mailing Address - Country:US
Mailing Address - Phone:706-399-7621
Mailing Address - Fax:
Practice Address - Street 1:135 HERMITAGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3834
Practice Address - Country:US
Practice Address - Phone:706-399-7621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057864207V00000X, 208D00000X
NC9800166207V00000X
DEC2-0010200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology