=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114116431
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UWHARRIE FAMILY HEALTH CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2007
-----------------------------------------------------
Last Update Date | 10/23/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1630 NC HIGHWAY 24 27 W
-----------------------------------------------------
City | BISCOE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27209-8068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-220-1661
-----------------------------------------------------
Fax | 910-428-5225
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1630 NC HIGHWAY 24 27 W P.O.BOX 429
-----------------------------------------------------
City | BISCOE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27209-8068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-220-1661
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DEBORAH S MCROBERTS
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 910-220-1661
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 32404
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------