Gary Alan Roberson in Jackson - Psychiatry
Gary Alan Roberson - NPI 1629133400
Gary Alan Roberson is a Psychiatry in Jackson, Mississippi. Gary Alan Roberson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Gary Alan Roberson is 1629133400. The last update date is 2023-09-06.
Gary Alan Roberson's current location address is 1855 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019064479 and fax number 6013663256. The mailing address for Gary Alan Roberson is 1855 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Alan Roberson |
|---|---|
| Address | 1855 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6019064479 |
| Fax Number | 6013663256 |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1629133400 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 1855 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164913 |
| Phone Number | 6019064479 |
| Fax Number | 6013663256 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 15474 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8124779 | MS | -- | |
| 260002937 | MN | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Alan Roberson by the Centers for Medicare & Medicaid Services?
The Gary Alan Roberson has been assigned the NPI (National Provider Identifier) 1629133400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gary Alan Roberson is located?
The Gary Alan Roberson is situated at the following address: 1855 Lakeland Dr, Jackson, MS, 392164913.
What is Gary Alan Roberson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Alan Roberson is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date was the 1629133400 assigned to Gary Alan Roberson?
The Gary Alan Roberson was issued its 1629133400 on 2006-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Gary Alan Roberson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Alan Roberson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-06.
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