Individual
JOSEPH FRANK ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1117 SUNSET DR, SUITE 101, GRENADA, MS 38901-4080
(662) 226-1168
(662) 226-1116
Mailing address
1117 SUNSET DR, SUITE 101, GRENADA, MS 38901-4080
(662) 226-1168
(662) 226-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14339
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03354737
—
MS
Enumeration date
08/31/2006
Last updated
04/10/2024
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