Organization
ROBERT M PATACSIL DO PC
Active
Other names
Robert M Patacsil DO
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M PATACSIL DO (OWNER)
(912) 427-9169
Entity
Organization
Contact information
Practice address
311 PEACHTREE ST, JESUP, GA 31545-0245
(912) 427-9169
(912) 427-9171
Mailing address
311 PEACHTREE ST, JESUP, GA 31545-0245
(912) 427-9169
(912) 427-9171
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
065296
GA
Other
Enumeration date
12/27/2010
Last updated
12/29/2010
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