Individual
DR. SARA BALL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-1196
(601) 984-5939
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-1196
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24331
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08475276
—
MS
05
—
194300
—
AL
Enumeration date
04/03/2010
Last updated
02/09/2017
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