Individual
DR. KEITH F. ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 US HIGHWAY 80 E, SUITE 215, DEMOPOLIS, AL 36732-3605
(334) 287-2840
(334) 287-2846
Mailing address
PO BOX 890, DEMOPOLIS, AL 36732-0890
(334) 287-2840
(334) 287-2846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25746
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150011
—
AL
05
—
166514001
—
AR
01
—
51136881
BLUE CROSS BLUE SHIELD
AL
01
—
5H011
BCBS
AR
Enumeration date
10/13/2006
Last updated
08/27/2013
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