Johnathan Charles Roberts

NPI #1669997276 in Marietta, Georgia

Provider Information

NPI Number: 1669997276
Entity Type: Individual
Name: Johnathan Charles Roberts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist
Enumeration Date: Aug 4, 2017
Last Updated: Aug 4, 2017

Practice Location

Address: 2855 JULIAS WAY NW
City: Marietta
State: Georgia
ZIP Code: 30064-6219
Phone: (770) 218-0776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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