Healthcare Provider Details

I. General information

NPI: 1649237835
Provider Name (Legal Business Name): JAMES ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 HIGHWAY 77
SOUTHSIDE AL
35907-7907
US

IV. Provider business mailing address

2425 HIGHWAY 77
SOUTHSIDE AL
35907-7907
US

V. Phone/Fax

Practice location:
  • Phone: 256-442-4141
  • Fax:
Mailing address:
  • Phone: 256-442-4141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24866
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: