Individual
MR. PAUL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
350 WEST WOODROW WILSON AVENUE, AMBULATORY SERVICES - OUTPATIENT DIETITIAN, JACKSON, MS 39213
(601) 815-2500
(601) 984-4074
Mailing address
350 WEST WOODROW WILSON AVENUE, AMBULATORY SERVICES - OUTPATIENT DIETITIAN, JACKSON, MS 39213
(601) 815-2500
(601) 984-4074
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
D1361
MS
Other
Enumeration date
05/28/2009
Last updated
01/27/2016
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