Individual
ROBERT DEIMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3555 CENTERVILLE HWY, SUITE 100, SNELLVILLE, GA 30039-6456
(770) 985-9957
(770) 985-9959
Mailing address
PO BOX 934915, ATLANTA, GA 31193-4915
(404) 501-7969
(404) 501-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00616261B
—
GA
01
—
080087199
RAIL ROAD MEDICARE
GA
01
—
4478304
AETNA
—
01
—
581816
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/17/2006
Last updated
01/08/2014
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