person
Robert William Roethel, PA
Surgical Physician Assistant in Valdosta, Georgia
NPI 1457971921

Robert William Roethel is a Surgical Physician Assistant based in Fortson, GA and is specialized in Surgical. Robert William Roethel practices in Valdosta, GA and has the professional credentials of PA. The NPI Number for Robert William Roethel is 1457971921 and holds a License No. 9762 (Georgia).

The current practice location address for Robert William Roethel is 4340 Kings Way, Valdosta, GA and can be reached out via phone at 229-333-9736 and via fax at 478-353-1170.

Location: 4340 Kings Way, Valdosta, GA, 31808-0370
person
Provider Profile Details
NPI Number
1457971921
Provider Name
Robert William Roethel
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4340 Kings Way, Valdosta, GA, 31808-0370
Phone Number
229-333-9736
Fax Number
478-353-1170
Provider Enumeration Date
04/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4340 Kings Way
City
State
Zip
31602-6921
Phone Number
229-333-9736
Fax Number
478-353-1170
person
Provider Business Mailing Address Details
Address
4340 Kings Way
City
State
Zip
31602-6921
Phone Number
229-333-9736
Fax Number
478-353-1170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
9762 (Georgia)
Definition
Definition to come...
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