Provider Demographics
NPI:1376549170
Name:PILCHER, ROBERT SUMNER (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SUMNER
Last Name:PILCHER
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-6208
Mailing Address - Country:US
Mailing Address - Phone:912-338-6010
Mailing Address - Fax:912-287-2796
Practice Address - Street 1:1908 ALICE ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-6208
Practice Address - Country:US
Practice Address - Phone:912-338-6010
Practice Address - Fax:912-287-2796
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL37067207X00000X
FLME138683207X00000X
GA32273207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00413982DMedicaid
GAE48049Medicare UPIN
GA20BBFKMMedicare ID - Type Unspecified