Individual provider · Type 1 NPI
Ericka Roberts, LMT
Clinic/Center · Mcdonough, GA
NPI number
1629886148
Active
Practice location
1345 Mcdonough Pkwy
Mcdonough, GA 30253-7072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | MT002669 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Mcdonough
About NPI 1629886148
Ericka Roberts, LMT's National Provider Identifier is 1629886148, issued on Dec 30, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mcdonough, GA. The record was last updated on Dec 30, 2024.