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Individual

DANIEL S ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1371 CHURCH STREET EXT NE STE 200, MARIETTA, GA 30060-7913
(678) 344-8900
(678) 666-5201
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(470) 579-5600
(229) 436-4107

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7920
GA

Other

Enumeration date
03/04/2016
Last updated
05/24/2024
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