Individual
JOSEPH EARL ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3005 N ELM ST, LUMBERTON, NC 28358-2984
(910) 738-7789
(910) 738-7599
Mailing address
3005 N ELM ST, LUMBERTON, NC 28358-2984
(910) 738-7789
(910) 738-7599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32959
NC
2084P0015X
Psychosomatic Medicine Physician
32959
NC
2084P0800X
Psychiatry Physician
32959
NC
2084P0804X
Child & Adolescent Psychiatry Physician
32959
NC
2084P0805X
Geriatric Psychiatry Physician
32959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71958
BLUE CROSS BLUE SHIELD
NC
05
—
8971958
—
NC
Enumeration date
10/07/2005
Last updated
10/06/2010
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