Healthcare Provider Details

I. General information

NPI: 1184663296
Provider Name (Legal Business Name): ROBERT ALLEN PERKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CENTER ST. 2N
MOBILE AL
36604
US

IV. Provider business mailing address

PO BOX 40480
MOBILE AL
36640-0480
US

V. Phone/Fax

Practice location:
  • Phone: 251-434-3475
  • Fax: 251-434-3985
Mailing address:
  • Phone: 251-434-3475
  • Fax: 251-434-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15786
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: