MEDICARE: DR. ROBERT G PALERINO MD

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
1	207Q00000X	Family Medicine Physician	22677	AL
2	207Q00000X	Family Medicine Physician	028848	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00341620	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1194724245	OTHER	GA	NPI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194724245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT G PALERINO MD

Provider Business Mailing Address
First Line	:	7141 MOON RD
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	GA
Zip	:	31909-7294
Country	:	US
Telephone Number	:	706-257-9998
Fax Number	:	706-257-9993

Provider Business Practice Location Address
First Line	:	7141 MOON RD
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	GA
Zip	:	31909-7294
Country	:	US
Telephone Number	:	706-257-9998
Fax Number	:	706-257-9993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	10/16/2019

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Directions to “ DR. ROBERT G PALERINO MD” Practice Location

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