Individual
DR. STACY D ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., D.C.
Contact information
Practice address
165 REBEL RISE, FAYETTEVILLE, GA 30215-5095
(470) 400-9431
(678) 669-1867
Mailing address
165 REBEL RISE, FAYETTEVILLE, GA 30215-5095
(470) 400-9431
(678) 669-1867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007730
GA
111NR0400X
Rehabilitation Chiropractor
CHIR007730
GA
Other
Enumeration date
03/09/2006
Last updated
10/05/2021
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