Suykerbuyk, Robert A

Suykerbuyk, Robert A is an individual health care provider with primary practice located at 4039 Gateway Blvd , Grovetown GA 30813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Suykerbuyk, Robert A can be contacted via phone (706) 922-1600.

Contact Information

Primary practice address
4039 Gateway Blvd Grovetown GA 30813
Phone: (706) 922-1600
Fax: (706) 922-1010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 047369 Georgia

Profile Details

NPI number 1043254915
LBN Legal business name Suykerbuyk, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 23rd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043254915 NPPES
Georgia Other 047369 LICENSE
Georgia Other 10056648 LICENSE
Georgia MEDICAID 273377 LICENSE
Georgia MEDICAID 00949869D LICENSE

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