Charles R. Robertson, M.D.

Pediatrics Physician · Tupelo, MS

Individual Active NPI

NPI number 1619073103

Practice location

1573 Medical Park Cir
Tupelo, MS 38801-6580
Phone
(662) 844-9885
Fax
(662) 842-1350

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NPI record

NPI
1619073103
Entity type
Individual (Type 1)
Enumeration date
September 15, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 07359 MS

About Dr. Robertson

Charles R. Robertson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1573 Medical Park Cir, Tupelo, MS 38801-6580. The NPI number 1619073103 was assigned on September 15, 2006 and the record was last updated on July 9, 2007.

Dr. Robertson lists a license in the registry: #07359 (MS) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles R. Robertson, M.D.?

The NPI number is 1619073103.

What is the phone number of Dr. Robertson?

The phone number listed for the practice location is (662) 844-9885.

Where is Dr. Robertson located?

1573 Medical Park Cir, Tupelo, MS 38801-6580.

What is the taxonomy code for Dr. Robertson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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