Jared K Robinson, PA-C
Family Medicine in Canton, GA. Individual provider (NPI-1).
NPI number1407407828
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1407407828
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jared K Robinson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10309 | GA | Yes |
Practice location
1495 Hickory Flat Hwy Ste 100Canton, GA 30115-4266
Phone 678-341-6360 · Fax 770-928-2601
Mailing address
12175 Wildwood Springs DrRoswell, GA 30075-1890
Phone 678-756-0038
Other practice locations
4235 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6038
Suwanee, GA 30024-6038
Phone 678-402-9550 · Fax 678-802-5765
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