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Individual

DR. ROBERT LISTER CROSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
100 N PINE ST, GREENVILLE, AL 36037-2222
(334) 382-7877
Mailing address
PO BOX 809, GREENVILLE, AL 36037-0809

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3752
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07866
BLUE CROSS & BLUE SHIELD
AL
01
774940
UNITED CONCORDIA
AL
Enumeration date
09/02/2006
Last updated
07/09/2007
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