Individual
DR. ROBERTS EDGAR TIMBERLAKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 VINEYARDS XING, LEXINGTON, NC 27295-2076
(336) 300-8594
Mailing address
229 NC HIGHWAY 47, LEXINGTON, NC 27292-8601
(336) 250-2192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33759
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983549
—
NC
Enumeration date
11/28/2005
Last updated
07/01/2013
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