Individual
ROBERT CENTEIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2515 ORCHARD ST, PHENIX CITY, AL 36869-6468
(334) 200-6635
Mailing address
2515 ORCHARD ST, PHENIX CITY, AL 36869-6468
(334) 200-6635
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN288372
GA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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