Individual
MELISSA B ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2899 WEST 4TH STREET, HATTIESBURG, MS 39406
(601) 266-5370
(601) 266-4205
Mailing address
118 COLLEGE DRIVE BOX 5066, HATTIESBURG, MS 39406
(601) 266-5390
(601) 266-4205
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
15983
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123317
—
MS
Enumeration date
09/07/2005
Last updated
10/07/2024
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