Healthcare Provider Details

I. General information

NPI: 1609801133
Provider Name (Legal Business Name): ALEXANDER ROBBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 FRIENDSHIP ROAD CMAC SUITE F
TALLASSEE AL
36078
US

IV. Provider business mailing address

PO BOX 240426
MONTGOMERY AL
36124-0426
US

V. Phone/Fax

Practice location:
  • Phone: 334-283-6460
  • Fax:
Mailing address:
  • Phone: 334-283-6460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8983
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: