Individual
NATHAN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 MEDICAL DR SE, DECATUR, AL 35601-4330
(256) 353-5011
Mailing address
1207 MEDICAL DR SE, DECATUR, AL 35601-4330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17159
AL
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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