Individual
DR. ROBERT ALEXANDER MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 691-1533
Mailing address
125 DUNNYVEG RD, RICHMOND HILL, GA 31324-5165
(912) 727-3808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
037864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058807
AMERIGROUP
GA
05
—
415967345A
—
GA
05
—
415967345C
—
GA
05
—
415967345D
—
GA
05
—
415967345E
—
GA
05
—
415967345F
—
GA
05
—
415967345G
—
GA
05
—
G37864
—
SC
Enumeration date
07/19/2005
Last updated
05/27/2008
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