Healthcare Provider Details

I. General information

NPI: 1912386194
Provider Name (Legal Business Name): ROBERT ALBRIGHT GREER JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2015
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6304 USA HEALTH BLVD
MOBILE AL
36608-0020
US

IV. Provider business mailing address

6304 USA HEALTH BLVD
MOBILE AL
36608-0020
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8880
  • Fax:
Mailing address:
  • Phone: 251-633-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25498
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number2308
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: