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Individual
ROBERT RICHARD PINELLO
Active
Individual
ROBERT RICHARD PINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC MPAS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004478
GA MEDICAL BOARD PA LICEN
GA
05
—
9338
—
GA
Enumeration date
07/17/2006
Last updated
07/29/2021
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