Dr. Charles Anderson Roberson
Orthopaedic Surgeon
300 Medical Dr Ste 707
LaGrange
, Georgia 30240-4130
Dr. Charles Anderson Roberson
Orthopaedic Surgeon
300 Medical Dr Ste 707
LaGrange
, Georgia 30240-4130
(770) 792-5451
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles Anderson Roberson
- 805 Sandy Plains Road Medical Staff Services
- Marietta, GA
- Zip : 30066-6340
- Phone : (770) 792-5451
Second Address
- Dr. Charles Anderson Roberson
- 300 Medical Dr Ste 707
- Lagrange, GA
- Zip : 30240-4130
- Phone : (706) 880-7320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 87226 | GA |
| N | 207X00000X | Orthopaedic Surgeon | MD00042553 | WA |
National Provider Identifier
| NPI | 1033227202 |
|---|---|
| Provider Name | Dr. Charles Anderson Roberson |
| First Address | Marietta, GA 30066-6340 |
| Second Address | Lagrange, GA 30240-4130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 22/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 35.086840 | OHIO MEDICAL LICENSE (01) | OH |
| 38947 | TENNESSEE MEDICAL LICENSE (01) | TN |
| H88622 | (02) | |
| MD00042553 | WASHINGTON MEDICAL LICENS (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.