Billy Edward Roberts in Douglas - Medical

Billy Edward Roberts - NPI 1962674176

Billy Edward Roberts is a Medical in Douglas, Georgia. Billy Edward Roberts practices all healthcare services and medical treatments related to Medical. The NPI Number for Billy Edward Roberts is 1962674176. The last update date is 2019-04-27.

Billy Edward Roberts's current location address is 1101 Ocilla Road, Douglas, Georgia. You can contact this provider via phone number 9123841900 and fax number 9123835667. The mailing address for Billy Edward Roberts is 1101 Ocilla Road, Douglas, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Billy Edward Roberts
Address 1101 Ocilla Road, Douglas, Georgia
Phone Number 9123841900
Fax Number 9123835667
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1962674176
Provider Enumeration Date 2008-03-27
Last Updated Date 2019-04-27

Provider Mailing Address Detail

Address 1101 Ocilla Road
City Douglas
State Georgia (GA)
Post Code 315342207
Phone Number 9123841900
Fax Number 9123835667

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 904
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
904 GA MEDICAL LICENSE

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FAQs about Billy Edward Roberts

What is the unique provider identifier assigned to Billy Edward Roberts?

The Billy Edward Roberts has been issued the NPI (National Provider Identifier) 1962674176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Billy Edward Roberts's physical address?

The Billy Edward Roberts is physically located at 1101 Ocilla Road, in the city of Douglas, GA, with the postal code 315342207.

What is Billy Edward Roberts's specialized field of practice, and what is the corresponding taxonomy classification code?

The Billy Edward Roberts's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962674176 to Billy Edward Roberts?

The Centers for Medicare & Medicaid Services assigned the 1962674176 to Billy Edward Roberts on 2008-03-27.

When was the information regarding Billy Edward Roberts most recently updated?

The details pertaining to the Billy Edward Roberts, including its address, specialty, and other relevant information, were last refreshed on 2019-04-27.

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