Gerald Roberts Castleberry Clinic

LBN: Mark A Roberts Md Pc
Gerald Roberts Castleberry Clinic is an health care organization with primary practice located at 106 Edwina St , Evergreen AL 36401-3319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mark A Roberts Md Pc can be contacted via phone (251) 578-4300, or through Powell, James via phone (251) 578-4300.

Contact Information

Primary practice address
106 Edwina St Evergreen AL 36401-3319
Phone: (251) 578-4300
Fax: (251) 578-4307
Website:
Map and Directions
Authorized official contact:
Name: Powell, James
Phone: (251) 578-4300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1952466211
LBN Legal business name Mark A Roberts Md Pc
DBA Doing business as Gerald Roberts Castleberry Clinic
Authorized official Powell, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952466211 NPPES
Alabama MEDICAID 529932932

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