Individual provider · Type 1 NPI

Robert G. Whitener, PA

Medical Physician Assistant · Lawrenceville, GA

NPI number 1629174123 Active

Practice location

2878 Five Forks Trickum Rd, Suite 2A
Lawrenceville, GA 30044-5896

Call (678) 344-8700 Map

Fax (678) 344-8600

Mailing address

204 Chelsea Ct
Woodstock, GA 30189-8173

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002074 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1629174123

Robert G. Whitener, PA's National Provider Identifier is 1629174123, issued on Sep 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 2, 2012.