person
Dr. Douglas E Roberts, MD
General Practice Physician in Irmo, South Carolina
NPI 1154367597

Douglas E Roberts is a General Practice Physician based in Irmo, SC. Douglas E Roberts practices in Irmo, SC and has the professional credentials of MD. The NPI Number for Douglas E Roberts is 1154367597 and holds a License No. 13895 (South Carolina).

The current practice location address for Douglas E Roberts is 7182 Woodrow St Ste 200, Irmo, SC and can be reached out via phone at 803-749-1111 and via fax at 803-749-0050.

Location: 7182 Woodrow St Ste 200, Irmo, SC, 29063-2832
person
Provider Profile Details
NPI Number
1154367597
Provider Name
Douglas E Roberts
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7182 Woodrow St Ste 200, Irmo, SC, 29063-2832
Phone Number
803-749-1111
Fax Number
803-749-0050
Provider Enumeration Date
06/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13895 01 SC SC MEDICAL LICENSE
138951 05 SC
institution
Provider Business Practice Location Address Details
Address
7182 Woodrow St Ste 200
City
State
Zip
29063-2958
Phone Number
803-749-1111
Fax Number
803-749-0050
person
Provider Business Mailing Address Details
Address
7182 Woodrow St Ste 200
City
State
Zip
29063-2958
Phone Number
803-749-1111
Fax Number
803-749-0050
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
13895 (South Carolina)
Definition
Definition to come...
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