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Individual

DR. ROBYN JOANNE WIRSING BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71747
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71747
LICENSE
GA
Enumeration date
06/08/2007
Last updated
04/15/2026
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