Individual
DR. ROBERT NEAL SUARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
344 ARNOLD AVE, GREENVILLE, MS 38701-4711
(662) 334-8578
(662) 334-8563
Mailing address
PO BOX 749, GREENVILLE, MS 38702-0749
(662) 334-9829
(662) 334-3529
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
06256
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016504
—
MS
01
—
1078470001
ARKANSAS MEDICAID
AR
01
—
DE1802
RAILROAD MEDICARE
—
Enumeration date
08/18/2006
Last updated
06/04/2008
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