Fuller-Roberts Clinic, INC
NPI #1407891815 in South Boston, Virginia
Provider Information
- NPI Number
- 1407891815
- Entity Type
- Organization
- Organization Name
- Fuller-Roberts Clinic, INC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Aug 21, 2014
Practice Location
- Address
- 2212 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1630
- Phone
- (434) 572-8921
Authorized Official
- Name
- MRS. CHRISTY NEWTON II
- Title
- OFFICE MANAGER
- Phone
- (434) 572-8921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Obstetrics & Gynecology |
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