MEDICARE: ROYGER ROBERTSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1538685276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROYGER ROBERTSON

Provider Business Mailing Address
First Line	:	266 RIVER OAK DR
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24541-5814
Country	:	US
Telephone Number	:	434-429-6367
Fax Number	:

Provider Business Practice Location Address
First Line	:	266 RIVER OAK DR
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24541-5814
Country	:	US
Telephone Number	:	434-429-6367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2017
Last Update Date	:	07/21/2022

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Directions to “ ROYGER ROBERTSON ” Practice Location

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