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FULLER ROBERTS OB-GYN AND PRIMARY CARE
NPI 1366814113
Obstetrics & Gynecology in South Boston, VA

Active since October 20, 2015
2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 572-8921 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fuller Roberts Ob-gyn And Primary Care NPPES

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

FULLER ROBERTS OB-GYN AND PRIMARY CARE (NPI 1366814113) is a healthcare organization registered as an obstetrics & gynecology in South Boston, Virginia and active in the NPI registry since October 2015. The organization lists Duc Trieu, Owner / M.d., as its authorized official.

NPPES Registry Identity

NPI1366814113
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFULLER ROBERTS OB-GYN AND PRIMARY CARE
Location Address2212 WILBORN AVESouth Boston, VA 24592-1630
Mailing Address2212 Wilborn AveSouth Boston, VA 24592-1630 · (434) 572-8921
Phone(434) 572-8921
Organization SubpartNo
Authorized OfficialDuc TrieuOwner / M.d. · (434) 572-8921
Enumeration DateOctober 20, 2015
✔ NPI 1366814113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101239403
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2212 WILBORN AVE, South Boston, VA 24592
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN WILSON MD
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
WILLIAM ALLEN FULLER JR. MD
Surgery
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
JONETTE TALBOTT MD
Nurse Practitioner (Pediatrics)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
DOMINION HEALTH MEDICAL ASSOC.
Clinic/Center (Ambulatory Surgical)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3529
MRS. CYNTHIA BLANKS COLE NP-C
Nurse Practitioner (Family)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
FULLER-ROBERTS CLINIC, INC
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
DUC K TRIEU MD
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921
PAMELA REYNOLDS FNPC
Nurse Practitioner
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8921

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 Fuller Roberts Ob-Gyn And Primary Care's NPI number?

The NPI number for Fuller Roberts Ob-Gyn And Primary Care is 1366814113. It was assigned to this organization in the NPPES registry on October 20, 2015.

Where is Fuller Roberts Ob-Gyn And Primary Care located?

Fuller Roberts Ob-Gyn And Primary Care is located at 2212 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 572-8921.

What is Fuller Roberts Ob-Gyn And Primary Care's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Fuller Roberts Ob-Gyn And Primary Care was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.