Individual provider · Type 1 NPI

Daniel S. Roberson, PA-C

Surgical Physician Assistant · Marietta, GA

NPI number 1780044610 Active

Practice location

1371 Church Street Ext NE Ste 200
Marietta, GA 30060-7913

Fax (678) 666-5201

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7920 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1780044610

Daniel S. Roberson, PA-C's National Provider Identifier is 1780044610, issued on Mar 4, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on May 24, 2024.