Provider Demographics
NPI:1144707464
Name:MERRITT, ROBYN HAWKINS (DC)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:HAWKINS
Last Name:MERRITT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBYN
Other - Middle Name:LEIGH
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1106 FURYS LN STE A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8219
Mailing Address - Country:US
Mailing Address - Phone:706-869-5565
Mailing Address - Fax:706-869-5572
Practice Address - Street 1:1106 FURYS LN STE A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-8219
Practice Address - Country:US
Practice Address - Phone:706-869-5565
Practice Address - Fax:706-869-5572
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor