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Individual
DR. JEFFREY BENNINGTON ROBERTS
Active
Individual
DR. JEFFREY BENNINGTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101248946
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
2007-00785
NC
Other
Enumeration date
02/01/2008
Last updated
04/05/2011
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