Marcus Carroll Roberts
Family Doctor Family Doctor - Hospice and Palliative Medicine
2225 Us Highway 41 N
Tifton
, Georgia 31794-2749
Marcus Carroll Roberts
Family Doctor Family Doctor - Hospice and Palliative Medicine
2225 Us Highway 41 N
Tifton
, Georgia 31794-2749
(229) 353-3450
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Marcus Carroll Roberts
- 907 18th St E Ste 400
- Tifton, GA
- Zip : 31794-3684
- Phone : (229) 353-3450
Second Address
- Marcus Carroll Roberts
- 2225 Us Highway 41 N
- Tifton, GA
- Zip : 31794-2749
- Phone : (229) 391-4100
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FAQs
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Is Marcus Carroll Roberts a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 35986 | GA |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 035986 | GA |
National Provider Identifier
| NPI | 1699731026 |
|---|---|
| Provider Name | Marcus Carroll Roberts |
| First Address | Tifton, GA 31794-3684 |
| Second Address | Tifton, GA 31794-2749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 08/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000508791B | (05) | GA |
| CL2838 | MEDICARE RAILROAD (01) | |
| E33164 | (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.