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NPI Code Detail

MEDICARE: DR. ROBERT T. GREENFIELD M.D.

MEDICARE: DR. ROBERT T. GREENFIELD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician037221GA
2207XS0117XOrthopaedic Surgery of the Spine Physician037221GA

General Provider Information

NPI Number : 1588651137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT T. GREENFIELD M.D.
Provider Business Mailing Address
First Line : 3211 IRIS DR
Second Line :
City : COVINGTON
State : GA
Zip : 30016-0907
Country : US
Telephone Number : 770-787-4042
Fax Number : 770-787-4001
Provider Business Practice Location Address
First Line : 3211 IRIS DR
Second Line :
City : COVINGTON
State : GA
Zip : 30016-0907
Country : US
Telephone Number : 770-787-4042
Fax Number : 770-787-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 03/27/2008

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