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Individual

ROBERT MICHAEL MACBAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7403 PURSER LN, HANAHAN, SC 29410-8291
(843) 330-8194
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/07/2019
Last updated
03/12/2021
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