Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fuller-Roberts Clinic, Inc

Organization Obstetrics & Gynecology Physician · NPI 1407891815

Fuller-Roberts Clinic, Inc is an Obstetrics & Gynecology Physician in South Boston, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2212 Wilborn Ave
South Boston, VA 24592-1630
Phone: (434) 572-8921
Fax: (434) 572-2063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1407891815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Newton — Office Manager · (434) 572-8921
NPI enumeratedJune 19, 2006
Last updated in NPPESAugust 21, 2014
Mailing address2212 Wilborn Ave, South Boston, VA 24592-1630

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