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Individual

DR. MARK WILLIAM ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
177 NC HIGHWAY 42 N STE B, ASHEBORO, NC 27203-7955
(336) 625-2429
(336) 625-9901
Mailing address
177 NC HIGHWAY 42 N STE B, ASHEBORO, NC 27203-7955
(336) 625-2429
(336) 625-9901

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1200
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306978069
ASHEBORO OPTOMETRIC VISION NPI
NC
Enumeration date
12/05/2007
Last updated
09/11/2008
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