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Individual

DR. JOSEPH LETCHER ROBERTSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-3531
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21706
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72390
BCBS OF NC
NC
05
8972390
NC
Enumeration date
09/08/2005
Last updated
11/13/2007
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