Provider Demographics
NPI:1114726056
Name:ROBINSON, SHELLY M (PHD)
Entity type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4759 SADDLERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-2551
Mailing Address - Country:US
Mailing Address - Phone:770-485-4896
Mailing Address - Fax:
Practice Address - Street 1:4759 SADDLERIDGE RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2551
Practice Address - Country:US
Practice Address - Phone:770-485-4896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator