MEDICARE: DR. ERIC M ROBACH 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	207R00000X	Internal Medicine Physician	064062	GA

General Provider Information

NPI Number	:	1306828355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC M ROBACH MD

Provider Business Mailing Address
First Line	:	1800 HOG MOUNTAIN RD STE 101
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-1935
Country	:	US
Telephone Number	:	706-705-6465
Fax Number	:	706-471-1919

Provider Business Practice Location Address
First Line	:	1800 HOG MOUNTAIN RD STE 101
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-1935
Country	:	US
Telephone Number	:	706-705-6465
Fax Number	:	706-471-1919

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	02/12/2024

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Directions to “ DR. ERIC M ROBACH MD” Practice Location

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