Basic Information
| Provider Information | |||||||||
| NPI: | 1871545459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DRETLER | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | HENRY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2665 N DECATUR RD | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | DECATUR | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300336149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042979755 | ||||||||
| FaxNumber: | 4042975008 | ||||||||
| Practice Location | |||||||||
| Address1: | 2665 N DECATUR RD | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | DECATUR | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300336149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042979755 | ||||||||
| FaxNumber: | 4042975008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 07/27/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 022748 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.