Individual
PAUL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 WALKER CHAPEL PLZ, SUITE 115, FULTONDALE, AL 35068-3401
(205) 841-2844
Mailing address
339 WALKER CHAPEL PLZ, SUITE 115, FULTONDALE, AL 35068-3401
(205) 841-2844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24557
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051105209
BCBS
AL
01
—
1902996713
TRICARE SOUTH
AL
Enumeration date
10/13/2006
Last updated
10/05/2012
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