Individual
DR. ROBERT WYLIE JARRETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, PATHOLOGY DEPARTMENT, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
PO BOX 745344, ATLANTA, GA 30374-5344
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101264914
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2004015955
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21121
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902207
—
MS
Enumeration date
10/04/2006
Last updated
06/14/2021
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