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NPI Code Detail

MEDICARE: DR. ROBERT NEAL SUARES MD

MEDICARE:  DR. ROBERT NEAL SUARES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician06256MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DE1802OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1467566521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT NEAL SUARES MD
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : GREENVILLE
State : MS
Zip : 38702-0749
Country : US
Telephone Number : 662-334-9829
Fax Number : 662-334-3529
Provider Business Practice Location Address
First Line : 344 ARNOLD AVE
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-4711
Country : US
Telephone Number : 662-334-8578
Fax Number : 662-334-8563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 06/04/2008

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Directions to “ DR. ROBERT NEAL SUARES MD” Practice Location

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