Individual
BEVERLY DIANNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
636 A E. AUSTIN AVE, PEARSON, GA 31642
(912) 422-3332
(912) 422-7345
Mailing address
PO BOX 218, PEARSON, GA 31642-0218
(912) 422-3332
(912) 422-7345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN044298
GA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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