Roberts, Nikki T

Roberts, Nikki T is an individual health care provider with primary practice located at 3405 Dallas Hwy Sw Ste 300 , Marietta GA 30064-6426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Roberts, Nikki T can be contacted via phone (770) 425-5331.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426
Fax: (770) 425-0799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 046228 Georgia

Profile Details

NPI number 1861431629
LBN Legal business name Roberts, Nikki T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861431629 NPPES
Georgia MEDICAID 000874739F
Georgia MEDICAID 000874739B
Georgia MEDICAID 000874739E

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