Robert Stanley Botnick M.D.

NPI 1053518381 - Internal Medicine - 207R00000X

NPI Details
NPI 1053518381
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
635 RONALD REGAN DRIVE
EVANS GA, 30809-7602, US
Phone (706) 829-2584
Fax
Business Location
4117 HERITAGE RIDGE
EVANS GA, 30809-4047, US
Phone (706) 651-0353
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 000030
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According to our database, Dr. Robert Stanley Botnick M.D. NPI is 1053518381, taxonomy code is 207R00000X and license number is 000030, license state is located at Georgia. Robert Stanley Botnick M.D. physically located at 635 Ronald Regan Drive, Evans GA, 30809-7602. NPI Number Robert Stanley Botnick M.D. has the Individual type.

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1053518381 NPI number is provided on an as is basis without warranty of any kind. 1053518381 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Stanley Botnick M.D. are for informational purposes only.