Individual
ROBERTO SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
655 7TH ST BLDG 700700-A, 78 MDG/XXX, ROBINS AFB, GA 31098-2227
(706) 372-6102
(706) 372-6102
Mailing address
1021 CHESTNUT LN RD, ATHENS, GA 30606-6214
(706) 372-6102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003709
GA
363AM0700X
Medical Physician Assistant
Primary
003709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001136B
—
GA
Enumeration date
08/08/2006
Last updated
05/29/2014
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