Healthcare Provider Details

I. General information

NPI: 1669037446
Provider Name (Legal Business Name): ALICEVILLE FAMILY PRACTICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 5TH ST NE
ALICEVILLE AL
35442-2200
US

IV. Provider business mailing address

108 5TH ST NE
ALICEVILLE AL
35442-2200
US

V. Phone/Fax

Practice location:
  • Phone: 205-373-3945
  • Fax: 205-373-3386
Mailing address:
  • Phone: 205-399-3085
  • Fax: 205-373-3386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTEN MCGEE ROBBINS
Title or Position: OWNER
Credential:
Phone: 205-826-0226