Individual
GABRIEL ISAAC ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Mailing address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MPA.4368
SC
363A00000X
Physician Assistant
Primary
MPA.4368
SC
Other
Enumeration date
04/09/2022
Last updated
07/31/2026
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