Provider Demographics
NPI:1972727907
Name:LOMBARDO, ROBERT CHARLES (D C)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 PEACHTREE INDUSTRIAL BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6988
Mailing Address - Country:US
Mailing Address - Phone:678-283-3039
Mailing Address - Fax:
Practice Address - Street 1:970 PEACHTREE INDUSTRIAL BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:678-283-3039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO01941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor