Individual
ROBERT M ROBERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-1000
Mailing address
PO BOX 18824, GREENSBORO, NC 27419-8824
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN107179
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859845H
—
GA
05
—
000859845I
—
GA
01
—
P00352151
RR MEDICARE INDIVIDUAL
GA
Enumeration date
03/07/2006
Last updated
05/13/2025
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