Individual
DR. ROBERT HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-5500
(601) 984-5499
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-5500
(601) 984-5499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15210
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121287
—
MS
01
—
P01233213
RAILROAD MEDICARE
MS
Enumeration date
07/31/2006
Last updated
12/16/2013
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