Individual
BILLY GENE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
849 S GRAVEL PIT RD, DECATUR, IL 62522-9720
(217) 619-4395
Mailing address
849 S GRAVEL PIT RD, DECATUR, IL 62522-9720
(217) 619-4395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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