NPI 1023532280

Nathan Kelly Roberson, NPC

Practitioner Nurse Practitioner Valdosta, GA

Practice location

Address: 4340 Kings Way, Valdosta, GA 31602-6921
Phone: (229) 333-9736
Mailing address: 2804 N Oak St STE C, Valdosta, GA 31602-5913

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN214086 (GA)

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Registry record

NPI: 1023532280
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2017
Record last updated: 30 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.