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Individual

THOMAS WILKES ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893
Mailing address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20895
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009959100
AL
01
051503111
MEDICARE ID
AL
01
160057663
RAILROAD MEDICARE
AL
01
515-03111
BLUE CROSS BLUE SHIELD
AL
01
61889
BLUE CROSS BLUE SHIELD
FL
01
63-1274940
CCN
AL
01
74-10667
UNITED HEALTHCARE
AL
Enumeration date
09/28/2006
Last updated
04/08/2013
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