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Individual

CARNELL DURREL ROBERTS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2757
(706) 655-5432
Mailing address
PO BOX 572, WARM SPRINGS, GA 31830-0572
(706) 741-0840

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001966
GA

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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