Individual
JONATHAN D ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
DWIGHT DAVID EISENHOWER AMC, 300 E HOSPITAL RD, FORT GORDON, GA 30905-0001
(706) 787-4154
Mailing address
DWIGHT DAVID EISENHOWER AMC, 300 E HOSPITAL RD, FORT GORDON, GA 30905-0001
(706) 787-4154
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
59182
MT
207RR0500X
Rheumatology Physician
Primary
78234
GA
Other
Enumeration date
09/12/2006
Last updated
11/01/2023
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