Provider Demographics
NPI:1316949597
Name:ROBINSON, BURKE PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:BURKE
Middle Name:PAUL
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400C OLD MILTON PKWY
Mailing Address - Street 2:STE 515
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4438
Mailing Address - Country:US
Mailing Address - Phone:770-667-3090
Mailing Address - Fax:678-867-0929
Practice Address - Street 1:3400C OLD MILTON PKWY
Practice Address - Street 2:STE 515
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4438
Practice Address - Country:US
Practice Address - Phone:770-667-3090
Practice Address - Fax:678-867-0929
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039921174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD44410Medicare UPIN
GA04BDCGBMedicare ID - Type Unspecified