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
Phone: (601) 859-1929
Fax: (601) 859-1926
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285791319 | NPPES |
| Mississippi | MEDICAID | 00120001 |
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