| Doctor Name: | ROBIN LEE LINE |
| NPI Number: | 1366687774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 018692 |
| Business Practice Address: | 773 N Main St Clayton, GA - 305254257 |
| Business Phone Number: | 7067820468 |
| Business Fax Number: | 7067821488 |
| Mailing Address: | Po Box 906, CLAYTON |
| State: | GA |
| Postal Code: | 305250023 |
| Phone Number: | 7067820468 |
| Fax Number: | 7067821488 |
| NPI Enumeration Date: | 12/15/2008 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 018692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |