MEDICARE: DR. ROBERT M COMBS JR. MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2929	AL

General Provider Information

NPI Number	:	1477544971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT M COMBS JR. MD

Provider Business Mailing Address
First Line	:	1210 KIRKWOOD DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-5215
Country	:	US
Telephone Number	:	334-279-8179
Fax Number	:	334-288-4172

Provider Business Practice Location Address
First Line	:	2165 NORMANDIE DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2728
Country	:	US
Telephone Number	:	334-288-4171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	01/28/2011

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