Provider Demographics
NPI:1639113707
Name:GARVER, ROBERT IRVING JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:IRVING
Last Name:GARVER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:822 S THREE NOTCH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5310
Mailing Address - Country:US
Mailing Address - Phone:888-681-5864
Mailing Address - Fax:334-222-6633
Practice Address - Street 1:822 SOUTH THREE NOTCH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5323
Practice Address - Country:US
Practice Address - Phone:888-681-5864
Practice Address - Fax:334-222-6633
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2015-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL13922207RP1001X, 207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I293235Medicare PIN
ALC75973Medicare UPIN