Provider Demographics
NPI:1417117623
Name:ROBERT G. PALERINO, MD
Entity Type:Organization
Organization Name:ROBERT G. PALERINO, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:PALERINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-257-9998
Mailing Address - Street 1:106 ENTERPRISE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9227
Mailing Address - Country:US
Mailing Address - Phone:706-257-9998
Mailing Address - Fax:706-257-9993
Practice Address - Street 1:106 ENTERPRISE CT
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9227
Practice Address - Country:US
Practice Address - Phone:706-257-9998
Practice Address - Fax:706-257-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty