Fuller-Roberts Clinic, INC
Obstetrics & Gynecology in South Boston, VA. Organization (NPI-2).
Details
- NPI
- 1407891815
- Entity type
- Organization (NPI-2)
- Legal business name
- Fuller-Roberts Clinic, INC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2006
- Last updated
- Aug 21, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
2212 Wilborn AveSouth Boston, VA 24592-1630
Phone 434-572-8921 · Fax 434-572-2063
Mailing address
2212 Wilborn AveSouth Boston, VA 24592-1630
Phone 434-572-8921 · Fax 434-572-2063
Authorized official
Christy Newton
Office Manager
4345728921
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Obstetrics & Gynecology Physician providers in South Boston, VA
- Joni Abbott, D.O.NPI 1215294814
- Fuller Roberts Ob-Gyn And Primary CareNPI 1366814113
- Carlos Alberto Pottinger, M.D.NPI 1750524690
- Duc K Trieu, MDNPI 1659317576
- Joan Wilson, MDNPI 1124097282
All 6 Obstetrics & Gynecology Physician providers in South Boston · All 440 providers in South Boston
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