Individual
CARL IVESTER ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3700 SALEM RD, COVINGTON, GA 30016-4527
(648) 342-6050
Mailing address
3700 SALEM ROAD, COVINGTON, GA 30016
(678) 342-6050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013870
GA
Other
Enumeration date
09/18/2010
Last updated
07/08/2013
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