Provider Demographics
NPI:1306850987
Name:SPRINGER, ROBERT EARL (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EARL
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:50 EXECUTIVE PARK SOUTH NE STE 5012
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2214
Mailing Address - Country:US
Mailing Address - Phone:404-920-6201
Mailing Address - Fax:404-920-6205
Practice Address - Street 1:50 EXECUTIVE PARK SOUTH NE STE 5012
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2214
Practice Address - Country:US
Practice Address - Phone:404-920-6201
Practice Address - Fax:404-920-6205
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037081207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0817895OtherCIGNA
GA1306850987OtherBLUE CROSS BLUE SHEILD
GA470885929OtherUNITED HEALTH CARE
GA2284088OtherAETNA
GA0817895OtherCIGNA
GA1306850987OtherBLUE CROSS BLUE SHEILD