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Contact Information

ROBERT MEDEIROS, MD
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 706-721-3157
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT MEDEIROS · (Male)

NPI # 1972899912
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 06/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 4842
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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