Individual
DIMITRIA D. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 BIG JOE RD, MONTICELLO, FL 32344-5188
(678) 699-5401
Mailing address
4157 CORINTH CHURCH RD, LAKE PARK, GA 31636-2921
(678) 699-5401
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN281634
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
281634
GA
Other
Enumeration date
08/19/2025
Last updated
05/07/2026
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