Individual
DEMETRISE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 DARTMOUTH CT, MCDONOUGH, GA 30253-6884
(404) 759-6480
Mailing address
2141 DARTMOUTH CT, MCDONOUGH, GA 30253-6884
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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