Individual
ROBERT OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 GENERALS WAY, SOUTH MILLS, NC 27976-9644
(252) 771-0033
Mailing address
PO BOX 83, CAMDEN, NC 27921-0083
(252) 771-0033
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000045021575
NC
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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