Healthcare Provider Details
I. General information
NPI: 1225041718
Provider Name (Legal Business Name): ERIC ROBINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/14/2006
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
829 NORTH DEAN RD. SUITE 100
AUBURN AL
36830
US
IV. Provider business mailing address
PO BOX 829
AUBURN AL
36831-0829
US
V. Phone/Fax
- Phone: 334-501-2005
- Fax:
- Phone: 334-501-2005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 20137 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 49088 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 20137 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: