Whitener, Robert G

Whitener, Robert G is an individual health care provider with primary practice located at 2878 Five Forks Trickum Rd Suite 2A, Lawrenceville GA 30044-5896. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Whitener, Robert G can be contacted via phone (678) 344-8700.

Contact Information

Primary practice address
2878 Five Forks Trickum Rd Suite 2A Lawrenceville GA 30044-5896
Phone: (678) 344-8700
Fax: (678) 344-8600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002074 Georgia

Profile Details

NPI number 1629174123
LBN Legal business name Whitener, Robert G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Nov 2nd, 2012 - about 13 years 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 1629174123 NPPES
Georgia Other 002074 LICENSE

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