Individual
JERRY M. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 SHAKERAG HL, SUITE 201, PEACHTREE CITY, GA 30269-4047
(770) 486-7111
(770) 486-7131
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025657
GA
Other
Enumeration date
05/25/2006
Last updated
02/15/2012
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