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MR. ROBERT GREGORY BURGESS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
431 MEADOWLARK ST, 20TH MEDICAL GROUP/SGOMY, SHAW A F B, SC 29152-5019
(803) 895-6562
Mailing address
3602 COY BURGESS LOOP, DEFUNIAK SPRINGS, FL 32435-6372
(803) 895-6562

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5584
FL

Other

Enumeration date
09/23/2005
Last updated
07/08/2007
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