Provider Demographics
NPI:1801228499
Name:GAUSE, ROBIN RUTH (CLC)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:RUTH
Last Name:GAUSE
Suffix:
Gender:
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 WATERFORD CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-4415
Mailing Address - Country:US
Mailing Address - Phone:470-421-0787
Mailing Address - Fax:
Practice Address - Street 1:2911 WATERFORD CLUB DR
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-4415
Practice Address - Country:US
Practice Address - Phone:470-421-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty