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

Individual provider Customized Equipment (DME) · NPI 1104388701

Dedra Matoya Robertson is a Customized Equipment (DME) in Andalusia, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2019
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Practice location Address checks out

110 Beasley St
Andalusia, AL 36420-4957
Phone: (334) 892-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 23190424 (AL)

Record details

NPI number1104388701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESApril 2, 2019
Mailing address110 Beasley St, Andalusia, AL 36420-4957

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