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Contact Information

ALBERT R BOROUGHS IV, MD
75 HIGHWAY 136 W
MONROEVILLE, AL36460
 Phone: 251-575-4825
 Fax: 251-575-7730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALBERT R BOROUGHS IV · (Male)

NPI # 1740283548
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 03/05/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00022765
  • AL Medicaid 009958120
  • AL Other 02327 BCBS PROVIDER #
  • AL Other 080173663 RR MEDICARE PROVIDER #
Hospital affiliation(s)
  • MONROE COUNTY HOSPITAL - (Acute Care)
    2016 SOUTH ALABAMA AVENUE, BOX 886
    MONROEVILLE, AL 36460
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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