Individual
MR. GREGORY JOHN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-7947
Mailing address
167 VERMILLION DR, COLUMBIA, SC 29209-3342
(803) 351-2974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F225
SC
Other
Enumeration date
09/23/2006
Last updated
08/31/2010
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