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Individual

ROBERT ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 N STATE ST, STE 400, JACKSON, MS 39202-1689
(601) 944-1717
(601) 944-9780
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
41677
MS
2084N0400X
Neurology Physician
41677
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03731341
MS
Enumeration date
07/27/2006
Last updated
12/08/2015
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