Dr. Paul Andrew Robertson, M.D.
Family Medicine in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1346687696
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1346687696
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Andrew Robertson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2013
- Last updated
- May 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 22270 | GA | Yes |
| 2083X0100X | Preventive Medicine, Occupational Medicine | M.D.013167 | LA | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | 08134 | MS | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | G9652 | TX |
Practice location
825 Meadowsong CirLawrenceville, GA 30043-4236
Phone 770-277-9660
Mailing address
2476 Den StSt Augustine, FL 32092-3635
Phone 904-940-9514
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