Porsche L Roberson, MD | |
13596 Highway 231 431 N Ste 2, Hazel Green, AL 35750-8618 | |
(256) 428-4950 | |
(256) 828-0526 |
Full Name | Porsche L Roberson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13596 Highway 231 431 N Ste 2, Hazel Green, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003013459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101246759 (Virginia) | Secondary |
208000000X | Pediatrics | 42695 (Alabama) | Primary |
Entity Name | Hh Physician Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144860123 PECOS PAC ID: 4082042940 Enrollment ID: O20200309000744 |
Mailing Address | Practice Location Address |
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Porsche L Roberson, MD Po Box 2705, Huntsville, AL 35804-2705 Ph: (256) 428-4950 | Porsche L Roberson, MD 13596 Highway 231 431 N Ste 2, Hazel Green, AL 35750-8618 Ph: (256) 428-4950 |
Dr. Jennifer Quillin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750 Phone: 256-828-2094 Fax: 256-828-0526 | |
Dr. Peter Kinnebrew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13596 Hwy 231 431 N, Suite 2, Hazel Green, AL 35750 Phone: 256-828-2094 Fax: 256-828-0526 |