Provider Demographics
NPI:1962435859
Name:ROBERTS, CARLA DELLE (MD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:DELLE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1800 NORTHSIDE FORSYTH DR
Mailing Address - Street 2:STE 380
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:770-292-2670
Mailing Address - Fax:770-292-2671
Practice Address - Street 1:1800 NORTHSIDE FORSYTH DR
Practice Address - Street 2:STE 380
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-292-2670
Practice Address - Fax:770-292-2671
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA41061207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000833115FMedicaid
GAH02632Medicare UPIN
GA000833115FMedicaid