ROBERT WILLIAM ROETHEL

VALDOSTA, GA
NPI1457971921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  9762)
Enumeration Date2020-04-24
Last Update Date2020-11-19
Business Address
ROBERT WILLIAM ROETHEL PA
4340 KINGS WAY
VALDOSTA, GA 31602-6921
Phone number: 229-333-9736
Mailing Address
ROBERT WILLIAM ROETHEL PA
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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