Individual
DR. ROBERT DOUGLAS HOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2105 OLD SPANISH TRAIL, GAUTIER, MS 39553
(228) 497-9444
Mailing address
2105 OLD SPANISH TRAIL, GAUTIER, MS 39553
(228) 497-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00020583
AL
207R00000X
Internal Medicine Physician
Primary
07213
MS
207R00000X
Internal Medicine Physician
ME0017076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120395
—
MS
01
—
110227363
RAILROAD MEDICARE
—
Enumeration date
10/02/2006
Last updated
06/04/2008
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