Individual
MICHAEL PATRICK ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 S SUTTON RD, STE 101, FORT MILL, SC 29715
(803) 328-6306
(803) 909-6451
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07526
NC
363A00000X
Physician Assistant
010469
NY
363A00000X
Physician Assistant
2826
SC
Other
Enumeration date
06/29/2006
Last updated
10/19/2023
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