Organization
DAVID F. ROBERTS, MD
Active
Other names
Diamondhead Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHELE M WALLEY (BILLING MANAGER)
(228) 255-4300
Entity
Organization
Contact information
Practice address
5435 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4300
(228) 255-3626
Mailing address
PO BOX 6130, DIAMONDHEAD, MS 39525-6002
(228) 255-4300
(228) 255-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11771
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015329
—
MS
Enumeration date
01/31/2007
Last updated
08/22/2020
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