Organization Name: | WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD |
NPI Number: | 1023291903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M. BLACKBURN (INTERIM PRESIDENT & CEO) |
Mailing Address: | 3400 Highway 78 East; Medical Arts Tower Suite 218 Jasper |
State: | AL US |
Postal Code: | 355018951 |
Phone Number: | 2053874472 |
Fax Number: | 2053874753 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |