Organization
MARK A ROBERTS MD PC
Active
Other names
Roberts Clinic, Gerald Roberts Castleberry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POWELL (CLINIC MANAGER)
(251) 578-4300
Entity
Organization
Contact information
Practice address
106 EDWINA ST, EVERGREEN, AL 36401-3319
(251) 578-4300
(251) 578-4307
Mailing address
106 EDWINA STREET, EVERGREEN, AL 36401
(251) 578-4300
(251) 578-4307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932932
—
AL
Enumeration date
12/27/2006
Last updated
06/13/2022
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