Individual
MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
210 HUDSON ST, CUMMING, GA 30040-2432
(770) 887-9171
(770) 887-9180
Mailing address
210 HUDSON ST, CUMMING, GA 30040-2432
(770) 887-9171
(770) 887-9180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002157
GA
Other
Enumeration date
09/27/2006
Last updated
04/05/2019
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