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Individual

ROBERT F HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
90 SUMMER PL, HATTIESBURG, MS 39402-8222
(601) 520-2501
Mailing address
90 SUMMER PL, HATTIESBURG, MS 39402-8222
(601) 520-2501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13766
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00113720
MS
05
1790231
LA
01
64050757285
AMERICAN ADMIN GROUP
MS
Enumeration date
08/15/2006
Last updated
01/03/2022
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