Individual
DR. CHARLES R ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1573 MEDICAL PARK CIR, TUPELO, MS 38801-6580
(662) 844-9885
(662) 842-1350
Mailing address
1573 MEDICAL PARK CIR, TUPELO, MS 38801-6580
(662) 844-9885
(662) 842-1350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111465
—
MS
Enumeration date
09/15/2006
Last updated
07/09/2007
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