Provider Demographics
NPI:1053791434
Name:SIKES, ROBERT EARNEST JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EARNEST
Last Name:SIKES
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 STEEPLECHASE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1049
Mailing Address - Country:US
Mailing Address - Phone:912-856-9853
Mailing Address - Fax:
Practice Address - Street 1:112 STEEPLECHASE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1049
Practice Address - Country:US
Practice Address - Phone:912-856-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant