Most Relevant Information
Provider Data
| NPI Number: | 1003811332 |
| Provider Name: | ROBERT DAVID JANSEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2005 |
| Last Updated: | 12/10/2012 |
Provider Practice Location
55 WHITCHER ST NE
STE 460
MARIETTA
GA
300601171
Practice Location Phone/Fax
| Phone: | 7704277389 |
| Fax: | 7704272845 |
Provider Mailing Location
55 WHITCHER ST NE
STE 460
MARIETTA
GA
300601171
Provider Mailing Phone/Fax
| Phone: | 7704277389 |
| Fax: | 7704272845 |