Individual
ROBERT SCOTT MEDEARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 15TH STREET, BIW 2144, AUGUSTA, GA 30912
(706) 721-4544
(706) 446-0077
Mailing address
1824 WALTON WAY, AUGUSTA, GA 30904-3804
(706) 737-9250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6924
GA
207L00000X
Anesthesiology Physician
80214
GA
Other
Enumeration date
01/26/2016
Last updated
01/03/2019
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