Organization
TJR OBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J ROBERTSON (MEDICAL DIRECTOR)
(252) 443-1006
Entity
Organization
Contact information
Practice address
450 JONES RD, ROCKY MOUNT, NC 27804-8207
(252) 443-1006
Mailing address
450 JONES RD, ROCKY MOUNT, NC 27804-8207
(252) 443-1006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
05/18/2022
Last updated
08/22/2023
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