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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY ROBERTSON, I.D.C

Active

MR. GARY ROBERTSON, I.D.C is a Medical Physician Assistant healthcare provider located in KINGS BAY, Georgia. NPI 1790034296 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · KINGS BAY, GA

Registration Details

NPI Number
1790034296
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2012 (13.78218378356 yrs)
Last Updated
Mar 31, 2025

Practice Information

Address
1059 USS MARIANO VILLEJO AVE
KINGS BAY, GA, 31547
Browse GA providers · Browse ZIP 31547
Phone
9125736599
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in KINGS BAY, GA

Name Credential NPI
MICHEAL SHANE CURRY MPAS, PA-C 1184692774
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.