Individual
AUDREY CARYN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
315 BOULEVARD NE STE 224, ATLANTA, GA 30312-1220
(404) 265-6888
Mailing address
315 BOULEVARD NE STE 224, ATLANTA, GA 30312-1220
(404) 265-6888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN238529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
GA
Enumeration date
01/30/2018
Last updated
01/30/2018
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