Individual
ROBERT M. PALLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169-2429
(803) 739-3550
(803) 739-3546
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 739-3550
(803) 739-3546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
060137
GA
207Q00000X
Family Medicine Physician
Primary
92097
SC
207Q00000X
Family Medicine Physician
MA32105
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077001
AMERIGROUP
GA
05
—
024696427A
—
GA
01
—
52206288-001
BCBS GA
GA
01
—
582162071-014
HUMANA/TRICARE SOUTH
—
05
—
G60137
—
SC
01
—
P00441766
RR MEDICARE
GA
Enumeration date
07/19/2006
Last updated
08/28/2024
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