Provider Demographics
NPI:1043239171
Name:DELPOZO, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:DELPOZO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:301 AMBULANCE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3865
Mailing Address - Country:US
Mailing Address - Phone:770-836-9250
Mailing Address - Fax:770-836-9261
Practice Address - Street 1:2540 WINDY HILL RD SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8605
Practice Address - Country:US
Practice Address - Phone:770-644-1570
Practice Address - Fax:770-644-1576
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2019-10-08
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Provider Licenses
StateLicense IDTaxonomies
GA0358532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F54514Medicare UPIN