| Dr Robert Alan Clark, MD | |
|
7550 Assunta Ct, Fairhope, AL 36532-3069 | |
| (251) 928-4944 | |
| (251) 928-2086 |
| Full Name | Dr Robert Alan Clark |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 7550 Assunta Ct, Fairhope, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548249436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 17869 (Alabama) | Primary |
| Entity Name | Bay Shore Dermatology, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316011398 PECOS PAC ID: 9638192263 Enrollment ID: O20101109001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Alan Clark, MD 7550 Assunta Ct, Fairhope, AL 36532-3069 Ph: (251) 928-4944 | Dr Robert Alan Clark, MD 7550 Assunta Ct, Fairhope, AL 36532-3069 Ph: (251) 928-4944 |
Laura Tucker Cepeda, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 202 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 |
Dr. Heather R Haley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 202 Rock Creek Parkway, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 |
Hoyt Harris Reynolds, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 |
Dr. Brian Douglas Cheshire, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7550 Assunta Ct, Fairhope, AL 36532 Phone: 251-928-4944 Fax: 251-928-2086 |
Dr. Eran Gwillim, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 |
Erin Brooke Bardin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 202 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 |