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Individual
JOSEPH MARTIN ROBERTS
Active
Individual
JOSEPH MARTIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96416
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003239914D
—
GA
05
—
003239914E
—
GA
01
—
G39299A
MEDICARE
GA
Enumeration date
03/26/2020
Last updated
02/04/2026
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