Individual
MR. ROBERT SCOTT WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
104 E MOORE ST, VALDOSTA, GA 31602-2911
(229) 253-9619
Mailing address
104 E MOORE ST, VALDOSTA, GA 31602-2911
(229) 253-9619
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000810
GA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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