Deloatch, Robert Wilson

Deloatch, Robert Wilson is an individual health care provider with primary practice located at 5260 Campbellton Rd Sw , Atlanta GA 30331-7712. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Other Service Providers / Military Health Care Provider. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Deloatch, Robert Wilson can be contacted via phone (404) 349-3049.

Contact Information

Primary practice address
5260 Campbellton Rd Sw Atlanta GA 30331-7712
Phone: (404) 349-3049
Fax: (404) 346-6141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 62419 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 62419 Georgia
Other Service Providers / Military Health Care Provider 171000000X 62419 Georgia

Profile Details

NPI number 1144347667
LBN Legal business name Deloatch, Robert Wilson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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