Robert R Perez Md | |
51 North Main Street Wasley GA 30477-0760 | |
(478) 252-5259 | |
(478) 252-0413 |
Full Name | Robert R Perez Md |
---|---|
Speciality | General Practice |
Location | 51 North Main Street, Wasley, Georgia |
Authorized Official Name and Position | Robert R Perez (MD OWNER) |
Authorized Official Contact | 4782525259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert R Perez Md Po Box 760 51 North Main Street Wasley GA 30477-0760 Ph: (478) 252-5259 | Robert R Perez Md 51 North Main Street Wasley GA 30477-0760 Ph: (478) 252-5259 |
NPI Number | 1295995611 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295995611 | NPI | - | NPPES |
000137992A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 000042 (Georgia) | Primary |