Individual
MICHAELA LYNNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031-6583
(704) 384-1775
(704) 384-1776
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11022499A
IN
207Q00000X
Family Medicine Physician
Primary
2025-01539
NC
Other
Enumeration date
06/20/2022
Last updated
08/12/2025
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