Individual
JULIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2476 GA HIGHWAY 41 S, BUENA VISTA, GA 31803-7618
(229) 314-3460
Mailing address
2476 GA HIGHWAY 41 S, BUENA VISTA, GA 31803-7618
(229) 314-3460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN186337
GA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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