Individual
ROBERT K PARTRIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
Mailing address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13459
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112087
—
MS
01
—
1559267
AMERICAN ADMIN GROUP
MS
Enumeration date
08/27/2006
Last updated
01/16/2020
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