MEDICARE: ROBERT ALAN PEDERSEN 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	174400000X	Specialist	021783	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	406133349	OTHER	GA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932179983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAN PEDERSEN MD

Provider Business Mailing Address
First Line	:	1505 PROFESSIONAL CT
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2500
Country	:	US
Telephone Number	:	706-275-6121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 PROFESSIONAL CT
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2500
Country	:	US
Telephone Number	:	706-275-6121
Fax Number	:

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/24/2008

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1891798435 — JAY MORITZ DPM
Practice Location Address:

1505 PROFESSIONAL CT
DALTON, GA
30720-2500

Practice Phone: 706-259-6882
Practice Fax: 706-259-3786

1386642015 — GBM ENTERPRISES, INC.
Practice Location Address:

1507 PROFESSIONAL CT
DALTON, GA
30720-2500

Practice Phone: 706-277-0700
Practice Fax: 706-277-0076

1821072406 — DR. JOEL ALFRED WILLIAMS III MD
Practice Location Address:

1506 PROFESSIONAL CT
DALTON, GA
30720-2500

Practice Phone: 706-278-2700
Practice Fax: 706-278-3444

1932135183 — NORTH GEORGIA NEUROLOGICAL INSTITUTE
Practice Location Address:

1505 PROFESSIONAL CT
DALTON, GA
30720-2500

Practice Phone: 706-275-6121
Practice Fax: 706-275-0521

1164585964 — ADVANCED FOOT CARE LLP
Practice Location Address:

1505 PROFESSIONAL CT
DALTON, GA
30720-2500

Practice Phone: 706-259-6882
Practice Fax: 706-259-3786

Directions to “ ROBERT ALAN PEDERSEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.