Roche, Robert R

Roche, Robert R is an individual health care provider with primary practice located at 3949 S Cobb Dr Se , Smyrna GA 30080-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roche, Robert R can be contacted via phone (770) 436-3162.

Contact Information

Primary practice address
3949 S Cobb Dr Se Smyrna GA 30080-6342
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 020598 Georgia

Profile Details

NPI number 1932189842
LBN Legal business name Roche, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jan 20th, 2015 - about 9 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 1932189842 NPPES
Georgia MEDICAID 000223066

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