Roberson, Charles Anderson
Roberson, Charles Anderson is an individual health care provider with primary practice located at 300 Medical Dr Ste 707 , Lagrange GA 30240-4130. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Roberson, Charles Anderson can be contacted via phone (706) 880-7320.Contact Information
Primary practice address
300 Medical Dr Ste 707
Lagrange GA 30240-4130
Phone: (706) 880-7320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 38947 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00042553 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 87226 | Georgia |
Profile Details
| NPI number | 1033227202 |
|---|---|
| LBN Legal business name | Roberson, Charles Anderson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Apr 22nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033227202 | NPPES |
| Tennessee | Other | 38947 | TENNESSEE MEDICAL LICENSE |
| Tennessee | Other | MD00042553 | TENNESSEE MEDICAL LICENSE |
| Tennessee | Other | 35.086840 | TENNESSEE MEDICAL LICENSE |
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