Individual
DR. TERRENCE JAWAAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
539 GLYNN ST N, FAYETTEVILLE, GA 30214
(678) 817-7722
(678) 817-0067
Mailing address
539 GLYNN ST N, FAYETTEVILLE, GA 30214-1108
(678) 817-7722
(678) 817-0067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002777
GA
Other
Enumeration date
07/31/2013
Last updated
09/23/2024
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