Individual provider · Type 1 NPI
Natisha Latrise Roberson-Dunn, PA-C
Medical Physician Assistant · Ellenwood, GA
NPI number
1285818567
Active
Practice location
195 Fairview Rd
Ellenwood, GA 30294-2722
Mailing address
15 Cobblestone Dr
Newnan, GA 30265-6047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004412 (GA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Ellenwood
About NPI 1285818567
Natisha Latrise Roberson-Dunn, PA-C's National Provider Identifier is 1285818567, issued on Dec 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ellenwood, GA. The record was last updated on Dec 22, 2007.