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Individual

MR. ROBERT ALLAN CIBIRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574
(229) 724-4282
(229) 724-4283
Mailing address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574
(229) 724-4282
(229) 724-4283

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007212
GA
363AM0700X
Medical Physician Assistant
3801
AZ
363AM0700X
Medical Physician Assistant
PA251
AL
363AM0700X
Medical Physician Assistant
PA9101120
FL

Other

Enumeration date
10/22/2007
Last updated
10/11/2024
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