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1134154511
CARROLL BRACEY ROBERTSON
ELIZABETH CITY, NC
NPI
1134154511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 9300298)
Enumeration Date
2006-07-12
Last Update Date
2009-03-06
Business Address
Mr. CARROLL BRACEY ROBERTSON MD
902B ROANOKE AVE
ELIZABETH CITY, NC 27909-5565
Phone number: 252-384-0154
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Mailing Address
Mr. CARROLL BRACEY ROBERTSON MD
902B ROANOKE AVE
ELIZABETH CITY, NC 27909-5565
Phone number: 252-384-0154
Copy
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