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Robert Large

NPI 1750783924 · on the registry since 2014 · sole proprietor

Practice

Address
3565 Piedmont Rd Ne
Building 2 Suite 310
Atlanta, GA 30305
Phone
(404) 352-8900
Organisation at this address
Ashlyn Ellington Llc
Synergy Sports Wellness Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia