MRS. ROBIN DOMM BURCH


Address: 1790 Mulkey Rd Ste 10, Newborn Clinics of America LLC At Wellstar Cobb Clinic, Austell, GA 30106-1122
Phone: 4046060151

MRS. ROBIN DOMM BURCH (NPI# 1336398726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336398726
Entity Type Individual
Full Name MRS. ROBIN DOMM BURCH
Other Name MISS ROBIN BARBARA DOMM
Credential NNP-BC
Practice Address 1790 Mulkey Rd Ste 10
Newborn Clinics of America LLC At Wellstar Cobb Clinic
Austell
GA 30106-1122
Mailing Address 1790 Mulkey Road Ste 10 Bldg 10
Newborn Clinics of America LLC At Wellstar Cobb Clinic
Austell
GA 30106
Practice Telephone 4046060151
Practice Fax Number 7703920180
Mailing Telephone 4046060154
Mailing Fax Number 6786152107
Enumeration Date 2008-09-10
Last Update Date 2011-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
RN065363 NP GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 624183405A 05

Other Providers ROBIN BURCH

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1669792941 Robin Kirkpatrick Burch Developmental Therapist 519 Latham Dr, Lowell, AR 72745-8360 2010-06-09

Office Location

Street Address 1790 MULKEY RD STE 10
NEWBORN CLINICS OF AMERICA LLC AT WELLSTAR COBB CLINIC
City AUSTELL
State GA
Zip Code 30106-1122

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225036015 Kathy Mcknight Lockett Nurse Practitioner 1790 Mulkey Rd, Austell, GA 30106-1122 2005-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265944896 Jennifer Michelle Kerhin Nurse Practitioner 777 Hemlock St Fl 3, Macon, GA 31201-2102 2017-11-05
1871034587 Stephanie Joseph Nurse Practitioner 4316 Sublime Trl, Atlanta, GA 30349-8882 2017-03-14
1659810935 Stephanie Gale Devers Nurse Practitioner 52 Johnny Wortham Rd, Newnan, GA 30263-4823 2017-02-19
1851757520 Dawn Michelle Tripp Nurse Practitioner 10141 Flat Shoals Rd Sw, Covington, GA 30014-3707 2016-01-11
1295080414 Christa Noel Brown Nurse Practitioner 142 Bryce Ryan Cir, Kingsland, GA 31548-7812 2012-07-14
1073730032 Diane Arlene Doherty-chandler Nurse Practitioner 1191 Arbor Ln, Madison, GA 30650-3791 2007-04-19
1396886370 Barbara Elaine Smith Nurse Practitioner 5335 Spot Creek Dr, Cumming, GA 30040-9554 2007-02-10
1245315118 Sara Gelson Martin Nurse Practitioner 1762 Clifton Rd Ne Ste 103, Emory University, Atlanta, GA 30322-4001 2006-10-26
1861450058 Paula Lynn Young Nurse Practitioner 2701 North Decatur Rd, Dekalb Medical Center, Decatur, GA 30033 2006-05-04
1811996655 Patricia B. Hunt Nurse Practitioner 50 Plaza Way Nw Ste E, Marietta, GA 30060-1141 2005-07-14
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Competitor

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City AUSTELL
Zip Code 30106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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