Individual
DR. RENE WELCH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2751 WARM SPRINGS RD, SUITE B, COLUMBUS, GA 31904-6858
(706) 494-2679
(706) 494-2697
Mailing address
2751 WARM SPRINGS RD, SUITE B, COLUMBUS, GA 31904-6858
(706) 494-2679
(706) 494-2697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN011640
GA
1223G0001X
General Practice Dentistry
Primary
DN011640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2161791-UU
EMPLOYER STATE ID #
GA
Enumeration date
02/07/2007
Last updated
01/17/2012
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