Individual provider · Type 1 NPI
Gary Robertson, I.D.C
Medical Physician Assistant · Kings Bay, GA
NPI number
1790034296
Active
Practice location
1059 Uss Mariano Villejo Ave
Kings Bay, GA 31547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Kings Bay
About NPI 1790034296
Gary Robertson, I.D.C's National Provider Identifier is 1790034296, issued on Aug 30, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kings Bay, GA. The record was last updated on Mar 31, 2025.