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NPI Code Detail

MEDICARE: DR. JERRY EDWARD ROBBINS II MD

MEDICARE: DR. JERRY EDWARD ROBBINS II 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
1207Q00000XFamily Medicine Physician21372AL
2207P00000XEmergency Medicine Physician00021372AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730283201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY EDWARD ROBBINS II MD
Provider Business Mailing Address
First Line : 885 N CEDAR COVE RD
Second Line :
City : HARTSELLE
State : AL
Zip : 35640-4957
Country : US
Telephone Number : 256-751-2160
Fax Number :
Provider Business Practice Location Address
First Line : 2941 POINT MALLARD PKWY SE STE N
Second Line :
City : DECATUR
State : AL
Zip : 35603-5760
Country : US
Telephone Number : 256-432-2822
Fax Number : 256-432-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 06/18/2018

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Directions to “ DR. JERRY EDWARD ROBBINS II MD” Practice Location

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