FULLER-ROBERTS CLINIC, INC
NPI 1407891815
Obstetrics & Gynecology in South Boston, VA

Q: What is Fuller-Roberts Clinic, Inc's NPI number?

The NPI number for Fuller-Roberts Clinic, Inc is 1407891815. It was assigned to this organization in the NPPES registry on June 19, 2006.

Q: What is Fuller-Roberts Clinic, Inc's specialty?

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

Active since June 19, 2006

2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 572-8921(434) 572-2063 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fuller-roberts Clinic, Inc NPPES

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

FULLER-ROBERTS CLINIC, INC (NPI 1407891815) is a healthcare organization registered as an obstetrics & gynecology in South Boston, Virginia and active in the NPI registry since June 2006. The organization lists Christy Newton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407891815

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameFULLER-ROBERTS CLINIC, INC

Location Address2212 WILBORN AVESouth Boston, VA 24592-1630

Mailing Address2212 Wilborn AveSouth Boston, VA 24592-1630 · (434) 572-8921 · Fax (434) 572-2063

Phone(434) 572-8921

Fax(434) 572-2063

Organization SubpartNo

Authorized OfficialChristy NewtonOffice Manager · (434) 572-8921

Enumeration DateJune 19, 2006

Last NPPES UpdateAugust 21, 2014

✔ NPI 1407891815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

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.

Also ListedPediatricsTaxonomy 208000000X

2212 WILBORN AVE, South Boston, VA 24592

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Other Identifiers 2

Medicare PINC02494VA

Medicaid1407891815VA

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