Individual
DR. ROBERT GALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14119
MS
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
14119
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014208
—
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
930020837
RAILROAD MEDICARE
MS
01
—
CI0520
GROUP - RAILROAD MEDICARE
—
01
—
P00629126
MEDICARE RR#
MS
Enumeration date
07/05/2006
Last updated
10/06/2017
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