Individual
DR. JAMES WAYNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 226-0500
(704) 226-0599
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20005
SC
207RC0000X
Cardiovascular Disease Physician
Primary
9701857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1087P
BCBS
NC
05
—
891087P
—
NC
05
—
N01857
—
SC
01
—
P00612335
RAILROAD MEDICARE
NC
Enumeration date
06/13/2006
Last updated
10/28/2020
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