Organization
TERRY E ROBERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY E ROBERTS (OWNER)
(770) 983-3755
Entity
Organization
Contact information
Practice address
5517 CLARKS BRIDGE RD, CLERMONT, GA 30527-2231
(770) 983-3755
Mailing address
5517 CLARKS BRIDGE RD, CLERMONT, GA 30527-2231
(770) 983-3755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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