SearchGeorgia363LW0102X

Neta Roby, NPC

NPI 1609255520 · on the registry since 2015

Practice

Address
Hwy 36
Georgia Diagnostic Classification Prison
Jackson, GA 30233
Phone
(770) 504-2415

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia