Individual
ROBERT THOMAS RELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK STREET LN # 140, MACON, GA 31201-2168
(478) 633-1721
Mailing address
777 HEMLOCK STREET LN # 140, MACON, GA 31201-2168
(478) 633-1721
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17918
GA
208600000X
Surgery Physician
T5254
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2024
Last updated
07/03/2025
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