Individual
DR. JONATHAN DAVIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
105 BRECKENRIDGE LN, DOTHAN, AL 36303-9322
(334) 791-6529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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