Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN CHARLES ROBERTS
Active Sole ProprietorAthletic Trainer · MARIETTA, GA
Registration Details
- NPI Number
- 1669997276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2017 (8.7152879721062 yrs)
- Last Updated
- Aug 4, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
2855 JULIAS WAY NWMARIETTA, GA, 300646219Browse GA providers · Browse ZIP 30064
- Phone
- 7702180776
- Fax
- 3039224640
- Primary Specialty
-
Athletic Trainer
225500000X
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.