Robert Ted Toborg
Family Doctor
3333 Brookview Hills Blvd Ste 204
Winston-Salem
, North Carolina 27103-5661
Robert Ted Toborg
Family Doctor
3333 Brookview Hills Blvd Ste 204
Winston-Salem
, North Carolina 27103-5661
(704) 384-7830
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Robert Ted Toborg
- Po Box 751803
- Charlotte, NC
- Zip : 28275-1803
- Fax : (704) 384-7830
- Phone : (336) 718-4820
Second Address
- Robert Ted Toborg
- 3333 Brookview Hills Blvd Ste 204
- Winston-Salem, NC
- Zip : 27103-5661
- Fax : (336) 774-3780
- Phone : (336) 774-3740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 9901057 | NC |
National Provider Identifier
| NPI | 1003813650 |
|---|---|
| Provider Name | Robert Ted Toborg |
| First Address | Charlotte, NC 28275-1803 |
| Second Address | Winston-Salem, NC 27103-5661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 28/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89129Y3 | (05) | NC |
| 9901057 | MEDICAL LICENSE NUMBER (01) | NC |
| H31708 | (02) | NC |
| P00457727 | RAILROAD MEDICARE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.