Organization
FANCY GAP INTERNAL MEDICINE
Active
Other names
Susan Tracy Roberts
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN TRACY ROBERTS NP-C (OWNER)
(276) 728-0735
Entity
Organization
Contact information
Practice address
1661 TURNER SPUR RD, FANCY GAP, VA 24328-4365
(276) 728-0735
(866) 464-0644
Mailing address
1661 TURNER SPUR RD, FANCY GAP, VA 24328-4365
(276) 728-0735
(866) 464-0644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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