Roberta S Immers NP

NPI 1639137896 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1639137896
Gender Female
Enumeration Date 05/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2601 SALEM RD SE
CONYERS GA, 30013-2127, US
Phone (770) 922-1880
Fax (770) 388-0201
Business Location
2601 SALEM RD SE
CONYERS GA, 30013-2127, US
Phone (770) 922-1880
Fax (770) 388-0201
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN134429NP
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According to our database, Roberta S Immers NP NPI is 1639137896, taxonomy code is 363L00000X and license number is RN134429NP, license state is located at Georgia. Roberta S Immers NP physically located at 2601 Salem Rd Se, Conyers GA, 30013-2127. NPI Number Roberta S Immers NP has the Individual type.

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1639137896 NPI number is provided on an as is basis without warranty of any kind. 1639137896 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta S Immers NP are for informational purposes only.