Individual
DR. ALBERT R BOROUGHS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 HIGHWAY 136 W, MONROEVILLE, AL 36460
(251) 575-4825
(251) 575-7730
Mailing address
75 HIGHWAY 136 W, MONROEVILLE, AL 36460
(251) 575-4825
(251) 575-7730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00022765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009958120
—
AL
01
—
02327
BCBS PROVIDER #
AL
01
—
080173663
RR MEDICARE PROVIDER #
AL
Enumeration date
05/24/2005
Last updated
03/05/2009
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