Individual
ROONG ROBERT BURKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
347 OSS OSM, MOODY A F B, GA 31699-0001
(229) 257-3874
Mailing address
2467 MUSCOGEE DR, VALDOSTA, GA 31602-5720
(229) 444-4540
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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