Individual
JOHN D ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 PLAZA AVENUE, EASTMAN, GA 31023
(478) 374-9767
(478) 374-9769
Mailing address
917 PLAZA AVENUE, EASTMAN, GA 31023
(478) 374-9767
(478) 374-9769
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
047253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845831A
—
GA
Enumeration date
10/04/2006
Last updated
09/05/2022
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