Robert William Roethel, PA
Robert William Roethel, PA is a Physician Assistant in Valdosta, Georgia. Qualified in 2020, 6 years ago. Practices with Hughston Clinic PC, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 6
- Licensed in
- GA
- In the registry since
- 2020
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
4340 Kings WayValdosta, GA 31602-6921
Phone: (229) 333-9736
Fax: (478) 353-1170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 100 Medical Dr Ste 400, Dublin, GA 31021-2561 — (478) 353-1166
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 9762 (GA) |
|---|
Record details
| NPI number | 1457971921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | April 24, 2020 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Hughston Clinic Pc — 112 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |