# ROLESVILLE FAMILY PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790003176
- **Authorized official:** ROBERT TAYLOR MD (MD)
- **Authorized official phone:** (919) 554-9412

## Contact information

- **Practice address:** 102 SOUTHTOWN CIR, ROLESVILLE, NC 27571-9591
- **Practice address phone:** (919) 554-9412
- **Mailing address:** PO BOX 16215, CHAPEL HILL, NC 27516-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 07/01/2010