Individual
DR. FREDERICK T ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2122 MANCHESTER EXPRESSWAY, COLUMBUS, GA 31904
(706) 320-2773
(706) 596-4226
Mailing address
PO BOX 8147, COLUMBUS, GA 31908-8147
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00745808G
—
GA
05
—
009909300
—
AL
01
—
080151594
RAILROAD MEDICARE
GA
Enumeration date
06/14/2006
Last updated
09/20/2012
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