MEDICARE: MR. ROBERT EARL SPRINGER 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
1	207R00000X	Internal Medicine Physician	037081	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0817895	OTHER	GA	CIGNA
2	1306850987	OTHER	GA	BLUE CROSS BLUE SHEILD
3	470885929	OTHER	GA	UNITED HEALTH CARE
4	2284088	OTHER	GA	AETNA

General Provider Information

NPI Number	:	1306850987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT EARL SPRINGER M.D.

Provider Business Mailing Address
First Line	:	50 EXECUTIVE PARK SOUTH NE STE 5012
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2214
Country	:	US
Telephone Number	:	404-920-6201
Fax Number	:	404-920-6205

Provider Business Practice Location Address
First Line	:	50 EXECUTIVE PARK SOUTH NE STE 5012
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2214
Country	:	US
Telephone Number	:	404-920-6201
Fax Number	:	404-920-6205

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	05/15/2008

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