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Individual
MR. ROBERT REID NOTTINGHAM JR.
Active
Individual
MR. ROBERT REID NOTTINGHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
5016
VA
363AS0400X
Surgical Physician Assistant
Primary
—
VA
Other
Enumeration date
06/03/2019
Last updated
06/05/2023
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