Individual provider · Type 1 NPI

Robert Mitchell Ermentrout, MD

Vascular & Interventional Radiology Physician · Athens, GA

NPI number 1124345376 Active

Practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

172 Huntington Rd NE
Atlanta, GA 30309-1504

Other practice locations

  • 25500 Meadowbrook Rd Ste 115, Novi, MI 48375-1879 · (248) 488-7950
  • 1510 E Herndon Ave Ste 110, Fresno, CA 93720-3333 · (559) 450-6742
  • 172 Huntington Rd NE, Atlanta, GA 30309-1504 · (404) 877-2707

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204X74032 (GA)
Diagnostic Radiology Physician 2085R0202XA118012 (CA)
Diagnostic Radiology Physician 2085R0202X74032 (GA)
Vascular & Interventional Radiology Physician 2085R0204XA118012 (CA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1124345376

Robert Mitchell Ermentrout, MD's National Provider Identifier is 1124345376, issued on Apr 28, 2010. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Athens, GA. The record was last updated on Jan 8, 2026.