MR. GARY ROBERTSON, I.D.C
Physician Assistant - Medical
Active
Individual
NPI: 1790034296
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1790034296 is the National Provider Identifier for MR. GARY ROBERTSON, I.D.C, a Physician Assistant - Medical provider located in Kings Bay, GA. This NPI was enumerated on August 30, 2012.
MR. GARY ROBERTSON, I.D.C practices at 1059 USS MARIANO VILLEJO AVE, Kings Bay, GA 31547.
Quick Facts
- NPI
- 1790034296
- Type
- Individual
- Enumerated
- Aug 30, 2012
- Last Updated
- Mar 31, 2025
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