Tisa O Roberts MD

NPI 1942342159 - Family Medicine - 207Q00000X

NPI Details
NPI 1942342159
Gender Female
Enumeration Date 02/13/2007
Last Updated 10/20/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
111 S FAIRVIEW RD
ROCKY MOUNT NC, 27801, US
Phone (252) 446-3333
Fax
Business Location
PO BOX 2723
ROCKY MOUNT NC, 27802-2723, US
Phone (252) 446-3333
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 2006-01513
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According to our database, Tisa O Roberts MD NPI is 1942342159, taxonomy code is 207Q00000X and license number is 2006-01513, license state is located at North Carolina. Tisa O Roberts MD physically located at 111 S Fairview Rd, Rocky Mount NC, 27801. NPI Number Tisa O Roberts MD has the Individual type.

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1942342159 NPI number is provided on an as is basis without warranty of any kind. 1942342159 is maintained by the National Plan & Provider Enumeration System. The contents of Tisa O Roberts MD are for informational purposes only.