Individual
DR. ROBERT W EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5004 HIGHWAY 69 N, NORTHPORT, AL 35473-2039
(205) 339-2499
(205) 339-6422
Mailing address
5004 HIGHWAY 69 N, NORTHPORT, AL 35473-2039
(205) 339-2499
(205) 339-6422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0441
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51515058
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/28/2005
Last updated
04/06/2012
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