Individual
DR. ROBERT GREER WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(601) 450-0521
(601) 450-0554
Mailing address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(601) 450-0521
(601) 450-0554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07380
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116004
—
MS
Enumeration date
06/29/2006
Last updated
07/08/2007
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