NPI 1154976868

Demetrise Roberts

Practitioner Driver McDonough, GA

Practice location

Address: 2141 Dartmouth CT, McDonough, GA 30253-6884
Phone: (404) 759-6480

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in Georgia →

Registry record

NPI: 1154976868
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2019
Record last updated: 8 Aug 2019

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.