Organization
WILLIS REID ROBERTS, JR.
Active
Organization
WILLIS REID ROBERTS, JR.
Active
Other names
W. Reid Roberts, Jr., M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE J MORGAN CPC (PRACTICE MANAGER)
(478) 453-0662
Entity
Organization
Contact information
Practice address
641 W THOMAS ST, MILLEDGEVILLE, GA 31061-2337
(478) 453-0662
(478) 452-8067
Mailing address
641 W THOMAS ST, MILLEDGEVILLE, GA 31061-2337
(478) 453-0662
(478) 452-8067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826999B
—
GA
01
—
045116
GEORGIA MEDICAL LICENSE
GA
01
—
52702166
BCBS OF GA
GA
Enumeration date
05/03/2007
Last updated
03/22/2011
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