Robert Pezzin


Address: 102 Wiley Dr, Cedartown, GA 30125-2259
Phone: 7707488940

Robert Pezzin (NPI# 1144241944, PAC ID# 1557497245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1144241944
PAC ID by PECOS 1557497245
Professional Enrollment ID I20100406000156
Full Name Robert Pezzin
Address 102 Wiley Dr
Cedartown
GA 30125-2259
Phone Number 7707488940
Gender M
Graduation Year 1979
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
111330 POLK MEDICAL CENTER

Other Locations

Address Phone Organization
102 Wiley Dr, Cedartown, GA 30125-2259 7707488940

Organization Information

Office Location

Street Address 102 WILEY DR
City CEDARTOWN
State GA
Zip 30125-2259

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Competitor

Search similar physicians

City CEDARTOWN
Zip Code 30125
Specialty GENERAL PRACTICE
City + Specialty CEDARTOWN + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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