Roberts, Mark Andrew

Roberts, Mark Andrew is an individual health care provider with primary practice located at 1900 Randolph Rd Ste 900 , Charlotte NC 28207-1117. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Roberts, Mark Andrew can be contacted via phone (704) 377-2424.

Contact Information

Primary practice address
1900 Randolph Rd Ste 900 Charlotte NC 28207-1117
Phone: (704) 377-2424
Fax: (704) 377-2687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002314 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-00509 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00509 North Carolina

Profile Details

NPI number 1942296082
LBN Legal business name Roberts, Mark Andrew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942296082 NPPES
North Carolina Other P00386964 RR MEDICARE

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