Individual
SUSAN L ROBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4210 LINCOLN RD., HATTIESBURG, MS 39402
(601) 261-3500
(601) 261-3583
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11413
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019956
—
MS
01
—
1558972
AMERICAN ADMIN GROUP
MS
05
—
1759651
—
LA
01
—
370003118
RAILROAD MEDICARE
MS
Enumeration date
08/29/2006
Last updated
07/08/2020
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