person
Mr. Robert G Whitener, PA
Medical Physician Assistant in Lawrenceville, Georgia
NPI 1629174123

Robert G Whitener is a Medical Physician Assistant based in Woodstock, GA and is specialized in Medical. Robert G Whitener practices in Lawrenceville, GA and has the professional credentials of PA. The NPI Number for Robert G Whitener is 1629174123 and holds a License No. 002074 (Georgia).

The current practice location address for Robert G Whitener is 2878 Five Forks Trickum Rd, Lawrenceville, GA and can be reached out via phone at 678-344-8700 and via fax at 678-344-8600. You can also correspond with Robert G Whitener through the mailing address at 204 CHELSEA CT, WOODSTOCK, GA - 30189-8173 (mailing address contact number: 678-344-8700).

Location: 2878 Five Forks Trickum Rd, Lawrenceville, GA, 30189-8173
person
Provider Profile Details
NPI Number
1629174123
Provider Name
Robert G Whitener
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2878 Five Forks Trickum Rd, Lawrenceville, GA, 30189-8173
Phone Number
678-344-8700
Fax Number
678-344-8600
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002074 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
2878 Five Forks Trickum Rd
City
State
Zip
30044-5896
Phone Number
678-344-8700
Fax Number
678-344-8600
person
Provider Business Mailing Address Details
Address
204 Chelsea Ct
City
State
Zip
30189-8173
Phone Number
678-344-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002074 (Georgia)
Definition
Definition to come...
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