Individual
DR. ROBERT A SUYKERBUYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4039 GATEWAY BLVD, GROVETOWN, GA 30813
(706) 922-1600
(706) 922-1010
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047369
GA
207Q00000X
Family Medicine Physician
Primary
47369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00949869D
—
GA
01
—
047369
LICENSE
GA
01
—
10056648
AMERIGROUP
GA
01
—
27337
LICENSE
SC
05
—
273377
—
SC
Enumeration date
06/15/2006
Last updated
04/16/2026
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