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Individual

ROBERT MICHAEL DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
3851 GA HIGHWAY 122, THOMASVILLE, GA 31757
(229) 221-1707
Mailing address
3851 GA HIGHWAY 122, THOMASVILLE, GA 31757-2405
(229) 221-1707

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002045
GA
363A00000X
Physician Assistant
PA 9103709
FL

Other

Enumeration date
10/01/2007
Last updated
08/14/2018
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