Provider Demographics
NPI:1891679528
Name:ROBINSON, JAMIE ELIZABETH
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 PIKE RD
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-2249
Mailing Address - Country:US
Mailing Address - Phone:334-322-8243
Mailing Address - Fax:
Practice Address - Street 1:3777 PEACHTREE RD NE APT 1311
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-5201
Practice Address - Country:US
Practice Address - Phone:334-322-8243
Practice Address - Fax:334-322-8243
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL214984208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery