Maurice Levitas Robertson

NPI #1497955991 in College Park, Georgia

Provider Information

NPI Number: 1497955991
Entity Type: Individual
Name: Maurice Levitas Robertson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 2860 KEENAN RD
City: College Park
State: Georgia
ZIP Code: 30349-4640
Phone: (770) 996-4491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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