Provider Demographics
NPI:1992750012
Name:SOLYOMVARI, ROBERT GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GEORGE
Last Name:SOLYOMVARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:612 W GORDON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3416
Mailing Address - Country:US
Mailing Address - Phone:706-648-3368
Mailing Address - Fax:706-647-4788
Practice Address - Street 1:612 W GORDON ST
Practice Address - Street 2:SUITE B
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3416
Practice Address - Country:US
Practice Address - Phone:706-648-3368
Practice Address - Fax:706-647-4788
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053953208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F09038Medicare UPIN
GA202I020594Medicare PIN