| Robert R Perez Md Pc | |
|
51 North Main Street Wasley GA 30477-0760 | |
| (478) 252-5259 | |
| (478) 252-0413 |
| Full Name | Robert R Perez Md Pc |
|---|---|
| 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 |
|---|---|
| Robert R Perez Md Pc Po Box 760 51 North Main Street Wasley GA 30477-0760 Ph: (478) 252-5259 | Robert R Perez Md Pc 51 North Main Street Wasley GA 30477-0760 Ph: (478) 252-5259 |
| NPI Number | 1295995611 |
|---|---|
| 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 |