Provider Demographics
NPI:1386745040
Name:HUBER, ROBERT ANDREW (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ANDREW
Last Name:HUBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1845 SATELLITE BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4061
Mailing Address - Country:US
Mailing Address - Phone:404-778-5220
Mailing Address - Fax:404-778-6451
Practice Address - Street 1:1845 SATELLITE BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4061
Practice Address - Country:US
Practice Address - Phone:404-778-5220
Practice Address - Fax:404-778-6451
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA30101207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11BDWPGMedicare PIN
GA11SCHMQMedicare PIN
GAD45707Medicare UPIN