Provider Demographics
NPI:1811075765
Name:MCROBERTS, DEBORAH SUE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:SUE
Last Name:MCROBERTS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1630 NC HIGHWAY 24 27 W
Mailing Address - Street 2:P.O. BOX 429
Mailing Address - City:BISCOE
Mailing Address - State:NC
Mailing Address - Zip Code:27209-8068
Mailing Address - Country:US
Mailing Address - Phone:910-428-2052
Mailing Address - Fax:910-428-5225
Practice Address - Street 1:364 WHITE OAK ST
Practice Address - Street 2:QUANTUM HEALTH GROUP
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5434
Practice Address - Country:US
Practice Address - Phone:336-625-5151
Practice Address - Fax:336-633-7754
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2022-03-10
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Provider Licenses
StateLicense IDTaxonomies
NC32404207Q00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10993156OtherCAQH
NC8958249Medicaid
NC8958249Medicaid
NC10993156OtherCAQH