Individual
DETRIS LASHALL ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(263) 847-8237
Mailing address
1686 IDLEWOOD RD, WAYNESBORO, GA 30830-5742
(706) 871-7737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN289668
GA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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