Individual
MRS. DANIELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9456 CHARLOTTE HWY, INDIAN LAND, SC 29707-7952
(704) 777-2286
Mailing address
9456 CHARLOTTE HWY, INDIAN LAND, SC 29707-7952
(704) 777-2286
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011644
NY
363AM0700X
Medical Physician Assistant
Primary
2899
SC
Other
Enumeration date
04/02/2007
Last updated
01/21/2026
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