Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELLEN H ROBERTS IV
ActiveMRS. ELLEN H ROBERTS IV is a Contractor healthcare provider located in JEFFERSON, Georgia. NPI 1134155310 is currently active in the NPPES registry. Verify at CMS.
Contractor · JEFFERSON, GA
Registration Details
- NPI Number
- 1134155310
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (20.169010358239 yrs)
- Last Updated
- Jul 9, 2007
Practice Information
- Address
-
3072 OLD PENDERGRASS RDJEFFERSON, GA, 305497508Browse GA providers · Browse ZIP 30549
- Phone
- 7063674377
- Fax
- 7063674377
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.