Individual
MS. RENEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3720 DAVINCI CT, SUITE #400, NORCROSS, GA 30092-7627
(770) 582-4189
Mailing address
1214 OLD GREYSTONE DR, LITHONIA, GA 30058-2955
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN147987
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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