SearchGeorgia363AM0700X

Gary Robertson, I.D.C

NPI 1790034296 · on the registry since 2012

Practice

Address
1059 Uss Mariano Villejo Ave
Kings Bay, GA 31547
Phone
(912) 573-6599

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia