Organization
JAMES E ROBERTS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E ROBERTS MD (PRESIDENT)
(601) 833-2222
Entity
Organization
Contact information
Practice address
439 N JACKSON ST, SUITE D, BROOKHAVEN, MS 39601-2952
(601) 833-2222
(601) 823-3073
Mailing address
PO BOX 379, BROOKHAVEN, MS 39602-0379
(601) 833-2222
(601) 823-3073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13205
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123147
—
MS
Enumeration date
02/13/2008
Last updated
02/13/2008
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