Provider Demographics
NPI:1497217103
Name:ROBERTS, ANNETTE GAWRON (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:GAWRON
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ANNETTE
Other - Middle Name:JANINA
Other - Last Name:GAWRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1203 QUEENSBURY CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8709
Mailing Address - Country:US
Mailing Address - Phone:727-244-4904
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-006742080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology