ROBERT M PATACSIL DO PC
Radiology at Peachtree St, Jesup, GA

License number
Georgia 065296
Category
Radiology
Type
Surgery
Owner
Name: ROBERT M PATACSIL DO
Title: OWNER
Phone: (912) 427-9169
Address
Address
311 Peachtree St, Jesup, GA 31545
National Provider ID: 1164726659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT M. PATACSIL, D.O. PC

311 Peachtree St, Jesup, GA 31545

Registration:
Nov 19, 2010
State ID:
10083103
Business type:
Domestic Professional Corporation
CEO:
Mitchell Robert Patacsil (CEO), 311 Peachtree St, Jesup, GA 31545 (Physical)
Agent:
Robert Mitchell Patacsil,311 Peachtree St Jesup Ga, Jesup, GA 31545 (Physical)

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