Provider Demographics
NPI:1710949102
Name:PALMERI, NORMAN ANTHONY (MD)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:ANTHONY
Last Name:PALMERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RIVERSTONE VIS STE 300
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-6683
Mailing Address - Country:US
Mailing Address - Phone:706-258-4178
Mailing Address - Fax:706-946-4289
Practice Address - Street 1:2855 OLD HIGHWAY 5 STE 106
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6239
Practice Address - Country:US
Practice Address - Phone:706-632-4223
Practice Address - Fax:706-632-4229
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA82755207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2656313OtherCIGNA
FL4328341OtherAETNA
FL47657OtherBCBS PROVIDER NUMBER
FLME44554OtherSTATE LICENSE
FL2656313OtherCIGNA
FL4328341OtherAETNA
FLD55130Medicare UPIN
FLME44554OtherSTATE LICENSE