Individual
JOHNATHAN CHARLES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2855 JULIAS WAY NW, MARIETTA, GA 30064-6219
(770) 218-0776
(303) 922-4640
Mailing address
PO BOX 986, ACWORTH, GA 30101-0986
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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