MEDICARE: FIRST LINE CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1114951381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST LINE CARE, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 610038
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35261-0038
Country	:	US
Telephone Number	:	205-655-2036
Fax Number	:	205-655-1214

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3410
Country	:	US
Telephone Number	:	205-930-7050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADAM D ROBERTSON
Credential	:	M.D.
Telephone Number	:	205-253-5795

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

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Directions to “FIRST LINE CARE, P.C. ” Practice Location

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