Healthcare Provider Details

I. General information

NPI: 1528161015
Provider Name (Legal Business Name): JAMES A ROBESON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W ADAMS STREET COVENANT HOSPICE
DOTHAN AL
36303
US

IV. Provider business mailing address

5041 N 12TH AVE COVENANT HOSPICE
PENSCOLA FL
32504
US

V. Phone/Fax

Practice location:
  • Phone: 334-794-7847
  • Fax: 334-794-2453
Mailing address:
  • Phone: 850-433-2155
  • Fax: 850-202-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAL5134
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: