Individual
REUBEN S ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
492 LOWER RIVER RD, HAWKINSVILLE, GA 31036-6412
(478) 783-4549
(478) 783-4529
Mailing address
PO BOX 1237, 492 LOWER RIVER ROAD, HAWKINSVILLE, GA 31036-7237
(478) 783-4549
(478) 783-4529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089537B
—
GA
Enumeration date
06/20/2005
Last updated
07/07/2011
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