Healthcare Provider Details

I. General information

NPI: 1497217103
Provider Name (Legal Business Name): ANNETTE GAWRON ROBERTS MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNETTE JANINA GAWRON MD, MPH

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

1203 QUEENSBURY CIR
DURHAM NC
27713-8709
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 727-244-4904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number2022-00674
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: