Individual
JASON S ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4274
(704) 384-5636
Mailing address
PO BOX 601529, CHARLOTTE, NC 28260-1529
(704) 384-4000
(336) 768-9019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
082169
NC
Other
Enumeration date
07/01/2009
Last updated
10/28/2020
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