# ROBERT R PEREZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robert R Perez MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295995611
- **Authorized official:** ROBERT R PEREZ MD PC (MD OWNER)
- **Authorized official phone:** (478) 252-5259

## Contact information

- **Practice address:** 51 NORTH MAIN STREET, WASLEY, GA 30477-0760
- **Practice address phone:** (478) 252-5259
- **Practice address fax:** (478) 252-0413
- **Mailing address:** PO BOX 760, 51 NORTH MAIN STREET, WASLEY, GA 30477-0760
- **Mailing address phone:** (478) 252-5259
- **Mailing address fax:** (478) 252-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 000042 | GA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000137992A | — | GA |