Individual
VICTORIA A ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, MSN
Contact information
Practice address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5645
(706) 507-8620
(706) 568-2323
Mailing address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5679
(706) 507-8620
(706) 568-2323
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN074697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000850099A
PEACH STATE
GA
01
—
00850099A
WELLCARE
GA
05
—
00850099A
—
GA
Enumeration date
01/23/2007
Last updated
10/09/2025
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