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Gina Roberts, DDS
NPI 1861601882 · on the registry since 2007 · sole proprietor
Practice
- Address
- 92 S Tallahassee St
Hazlehurst, GA 31539 - Phone
- (912) 375-4531
- Fax
- (912) 375-4532
- Organisation at this address
- Georgia Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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