Organization
FANCY GAP INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TRACY ROBERTS NP-C (NURSE PRACTITIONER)
(336) 707-7734
Entity
Organization
Contact information
Practice address
1661 TURNER SPUR RD, FANCY GAP, VA 24328-4365
(276) 728-0735
(276) 728-7717
Mailing address
1661 TURNER SPUR RD, FANCY GAP, VA 24328-4365
(276) 728-0735
(276) 728-7717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Enumeration date
12/02/2014
Last updated
07/21/2022
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