Individual
DR. ROBERT BENTLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE STE 200, CHARLOTTE, NC 28207-1222
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28119
NC
207X00000X
Orthopaedic Surgery Physician
29236-20
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
28119
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
29236-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069495
—
WI
05
—
1326021288
—
NC
Enumeration date
11/23/2005
Last updated
03/10/2023
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