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1629174123
ROBERT G WHITENER
LAWRENCEVILLE, GA
NPI
1629174123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 002074)
Enumeration Date
2006-09-15
Last Update Date
2012-11-02
Business Address
Mr. ROBERT G WHITENER PA
2878 FIVE FORKS TRICKUM RD SUITE 2A
LAWRENCEVILLE, GA 30044-5896
Phone number: 678-344-8700
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Mailing Address
Mr. ROBERT G WHITENER PA
204 CHELSEA CT
WOODSTOCK, GA 30189-8173
Phone number: 678-344-8700
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