Basic Information
| Provider Information | |||||||||
| NPI: | 1417035270 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGEE | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1130 22ND ST. S. | ||||||||
| Address2: | SUITE 1000 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352052870 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057155198 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 801 PRINCETON AVE SW | ||||||||
| Address2: | POB I, SUITE 710 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352111309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053975200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 22596 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.