Individual
MR. LEE DOUGLASS ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 BAPTIST BLVD STE 405, COLUMBUS, MS 39705-2004
(662) 244-2288
(662) 244-2289
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 226-3186
(901) 226-3160
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14609
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960240
—
AL
Enumeration date
02/21/2006
Last updated
09/12/2024
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