Individual
MR. NATHAN KELLY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4340 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 333-9736
Mailing address
2804 N OAK ST STE C, VALDOSTA, GA 31602-5913
(229) 241-8925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN214086
GA
Other
Enumeration date
07/31/2017
Last updated
07/30/2021
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