MEDICARE: DR. ROBERT IRVING GARVER 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	207RP1001X	Pulmonary Disease Physician	13922	AL
2	207R00000X	Internal Medicine Physician	13922	AL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	13922	AL

General Provider Information

NPI Number	:	1639113707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT IRVING GARVER JR. MD

Provider Business Mailing Address
First Line	:	822 S THREE NOTCH ST
Second Line	:	SUITE B
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-5310
Country	:	US
Telephone Number	:	888-681-5864
Fax Number	:	334-222-6633

Provider Business Practice Location Address
First Line	:	822 SOUTH THREE NOTCH ST
Second Line	:	SUITE B
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-5323
Country	:	US
Telephone Number	:	888-681-5864
Fax Number	:	334-222-6633

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	05/05/2015

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