Dr. Robert David Jansen
Nephrologist
55 Whitcher St Ne Ste 460
Marietta
, Georgia 30060-1171
Dr. Robert David Jansen
Nephrologist
55 Whitcher St Ne Ste 460
Marietta
, Georgia 30060-1171
(770) 427-2845
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Robert David Jansen
- 55 Whitcher St Ne Ste 460
- Marietta, GA
- Zip : 30060-1171
- Fax : (770) 427-2845
- Phone : (770) 427-7389
Second Address
- Dr. Robert David Jansen
- 55 Whitcher St Ne Ste 460
- Marietta, GA
- Zip : 30060-1171
- Fax : (770) 427-2845
- Phone : (770) 427-7389
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | GA027578 | GA |
National Provider Identifier
| NPI | 1003811332 |
|---|---|
| Provider Name | Dr. Robert David Jansen |
| First Address | Marietta, GA 30060-1171 |
| Second Address | Marietta, GA 30060-1171 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 10/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000332857AC | (05) | GA |
| 000332857D | (05) | GA |
| 000332857E | (05) | GA |
| 000332857H | (05) | GA |
| 000332857P | (05) | GA |
| 000332857Q | (05) | GA |
| 000332857U | (05) | GA |
| 000332857V | (05) | GA |
| 00332857A | (05) | GA |
| D45743 | (02) | GA |
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.