Individual
MRS. AMANDA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QOM
Contact information
Practice address
113 COUNTY LINE RD, TYNER, NC 27980-9690
(252) 506-2522
Mailing address
113 COUNTY LINE RD, TYNER, NC 27980-9690
(252) 506-2522
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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