Individual
ROBERT A MCGUIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216
(601) 984-6525
(601) 984-5151
Mailing address
2500 N STATE STREET, PO BOX 3188, JACKSON, MS 39207-3188
(601) 984-6525
(601) 984-5151
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
12422
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016005
—
MS
05
—
155644
—
AL
01
—
200014931
RAILROAD MEDICARE
MS
01
—
512I200012
PTAN
MS
01
—
P00462275
RAILROAD MEDICARE PTAN
MS
Enumeration date
10/11/2005
Last updated
02/05/2014
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