Individual
FREDERICK BENJAMIN KAY ROVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4756 HABERSHAM RDG SW, LILBURN, GA 30047-5603
(404) 545-5787
(770) 972-1672
Mailing address
4756 HABERSHAM RDG SW, LILBURN, GA 30047-5603
(404) 545-5787
(770) 972-1672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN113829
GA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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