Individual
DR. JAMES E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
439 N JACKSON ST STE D, BROOKHAVEN, MS 39601-2912
(601) 833-2222
(601) 823-3073
Mailing address
PO BOX 22727, JACKSON, MS 39225-2727
(601) 200-4880
(601) 200-0988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13205
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015497
—
MS
01
—
110174128
RAILROAD PROVIDER NO.
MS
Enumeration date
07/27/2006
Last updated
05/07/2018
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