Tatum, Robert Ervin

Tatum, Robert Ervin is an sole proprietor health care provider with primary practice located at 276B Nissan Pkwy Ste 200, Canton MS 39046-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tatum, Robert Ervin can be contacted via phone (601) 859-1929.

Contact Information

Primary practice address
276B Nissan Pkwy Ste 200 Canton MS 39046-7032
Fax: (601) 859-1926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16155 Mississippi

Profile Details

NPI number 1285791319
LBN Legal business name Tatum, Robert Ervin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Mar 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285791319 NPPES
Mississippi MEDICAID 00120001

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