Individual
DR. ROBERT MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 914-9503
(601) 981-7895
Mailing address
971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS 39216-2706
(601) 914-9503
(601) 981-7895
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13782
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120557
—
MS
Enumeration date
05/08/2006
Last updated
10/31/2011
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