Individual
DR. DENZIL G ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2022
(601) 376-1816
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2022
(601) 376-1816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15027
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117375
—
MS
Enumeration date
06/15/2006
Last updated
02/01/2008
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