Individual
JO BETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6706
(478) 633-5384
Mailing address
598 3RD ST, MACON, GA 31201-3357
(478) 633-6706
(478) 633-5384
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN113509
GA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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