Willis Reid Roberts, Jr. in Milledgeville - Internal Medicine

Willis Reid Roberts, Jr. - NPI 1720290869

Willis Reid Roberts, Jr. is a Internal Medicine in Milledgeville, Georgia. Willis Reid Roberts, Jr. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Willis Reid Roberts, Jr. is 1720290869. The last update date is 2011-03-22.

Willis Reid Roberts, Jr.'s current location address is 641 W Thomas St, Milledgeville, Georgia. You can contact this provider via phone number 4784530662 and fax number 4784528067. The mailing address for Willis Reid Roberts, Jr. is 641 W Thomas St, Milledgeville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Willis Reid Roberts, Jr.
Address 641 W Thomas St, Milledgeville, Georgia
Phone Number 4784530662
Fax Number 4784528067
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Morgan J Bobbie
Credentials CPC
Telephone Number 4784530662

NPI Number Detail

NPI Number 1720290869
Provider Enumeration Date 2007-05-03
Last Updated Date 2011-03-22

Provider Mailing Address Detail

Address 641 W Thomas St
City Milledgeville
State Georgia (GA)
Post Code 310612337
Phone Number 4784530662
Fax Number 4784528067

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 45116
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45116 GA GEORGIA MEDICAL LICENSE
00826999B GA --
52702166 GA BCBS OF GA

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FAQs about Willis Reid Roberts, Jr.

What is the unique 10-digit identifier code issued to Willis Reid Roberts, Jr. by the Centers for Medicare & Medicaid Services?

The Willis Reid Roberts, Jr. has been assigned the NPI (National Provider Identifier) 1720290869 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Willis Reid Roberts, Jr.'s facilities are situated?

The facilities of Willis Reid Roberts, Jr. are physically located at the following address: 641 W Thomas St, Milledgeville, GA, 310612337.

What is Willis Reid Roberts, Jr.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Willis Reid Roberts, Jr. is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date was the 1720290869 assigned to Willis Reid Roberts, Jr.?

The Willis Reid Roberts, Jr. was issued its 1720290869 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Willis Reid Roberts, Jr.'s details last updated?

The information pertaining to the Willis Reid Roberts, Jr., including its address, specialty, and other details, was most recently updated on 2011-03-22.

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