Organization
ROBERT B. BURNS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENJAMIN BURNS MD (OWNER/SOLE PROPRIETOR)
(228) 769-9797
Entity
Organization
Contact information
Practice address
4211 HOSPITAL ST STE 206, PASCAGOULA, MS 39581-5311
(228) 769-9797
Mailing address
4211 HOSPITAL ST STE 206, PASCAGOULA, MS 39581-5311
(228) 769-9797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18248
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426024
—
MS
01
—
429311256
BLUE CROSS BLUE SHIELD OF MS
MS
Enumeration date
10/31/2017
Last updated
10/31/2017
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