Whitacre, Robert Greer

Whitacre, Robert Greer is an individual health care provider with primary practice located at 5000 W 4Th St , Hattiesburg MS 39402-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Whitacre, Robert Greer can be contacted via phone (601) 450-0521.

Contact Information

Primary practice address
5000 W 4Th St Hattiesburg MS 39402-1000
Fax: (601) 450-0554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 07380 Mississippi

Profile Details

NPI number 1396773107
LBN Legal business name Whitacre, Robert Greer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1396773107 NPPES
Mississippi MEDICAID 00116004

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