Individual provider · Type 1 NPI

Demetrise Roberts

Driver · Mcdonough, GA

NPI number 1154976868 Active

Practice location

2141 Dartmouth Ct
Mcdonough, GA 30253-6884

Call (404) 759-6480 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1154976868

Demetrise Roberts's National Provider Identifier is 1154976868, issued on Aug 8, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mcdonough, GA. The record was last updated on Aug 8, 2019.