Individual
DANIEL OLIVER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2555 COURT DR STE 450, GASTONIA, NC 28054-2191
(046) 717-6527
(704) 671-7656
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07638
NC
Other
Enumeration date
11/09/2017
Last updated
02/27/2024
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