Individual
MR. BILLY EDWARD ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1101 OCILLA RD STE A, DOUGLAS, GA 31533-2207
(912) 384-0600
(912) 384-0601
Mailing address
1101 OCILLA ROAD, STE A, DOUGLAS, GA 31534-2207
(912) 384-1900
(912) 383-5667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000904
MEDICAL LICENSE
GA
Enumeration date
03/27/2008
Last updated
04/27/2019
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