Individual
DR. ROBERT DAVID JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Mailing address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RN0300X
Nephrology Physician
Primary
GA027578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000332857AC
—
GA
05
—
000332857D
—
GA
05
—
000332857E
—
GA
05
—
000332857H
—
GA
05
—
000332857P
—
GA
05
—
000332857Q
—
GA
05
—
000332857U
—
GA
05
—
000332857V
—
GA
05
—
00332857A
—
GA
Enumeration date
06/14/2005
Last updated
12/10/2012
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