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DEDRA MATOYA ROBERTSON
NPI 1104388701
Durable Medical Equipment & Medical Supplies - Customized Equipment in Andalusia, AL

Active since April 02, 2019
110 BEASLEY ST, ANDALUSIA, AL 36420(334) 892-3784 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dedra Matoya Robertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRA MATOYA ROBERTSON (NPI 1104388701) is an individual customized equipment provider in Andalusia, Alabama, licensed in Alabama (23190424) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1104388701
Entity TypeIndividualFemale
Primary Taxonomy332BC3200X
Provider Legal NameDEDRA MATOYA ROBERTSON
Location Address110 BEASLEY STAndalusia, AL 36420-4957
Mailing Address110 Beasley StAndalusia, AL 36420-4957 · (334) 892-3784
Phone(334) 892-3784
Sole ProprietorYes
Enumeration DateApril 2, 2019
✔ NPI 1104388701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in AL · 23190424
110 BEASLEY ST, Andalusia, AL 36420
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedra Robertson's NPI number?

The NPI number for Dedra Robertson is 1104388701. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Dedra Robertson located?

Dedra Robertson practices at 110 Beasley St, Andalusia, AL 36420. The listed phone number is (334) 892-3784.

What is Dedra Robertson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Dedra Robertson was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.