MR. TERRY ROBERTS NPI 1912178849

NPI Information

NPI: 1912178849
Provider Name: MR. TERRY ROBERTS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
5517 CLARKS BRIDGE RD
CLERMONT, GA
ZIP 30527
Phone: (770) 983-3755
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MR. Terry Roberts is a durable medical equipment medical supplies in Clermont, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MR. Terry Roberts NPI is 1912178849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5517 CLARKS BRIDGE RD
CLERMONT, GA
ZIP 30527-231
Phone: (770) 983-3755
Fax: (770) 983-0383

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1218800001	MEDICARE NSC	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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