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General NPI Number Information
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NPI Number | 1548474042
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Entity Type | Organization
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Legal Business Name | MD BILLING, LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1855 LAKELAND DR SUITE P231
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City | JACKSON
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State | MS
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Zip | 39216-4913
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Country | US
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Telephone | 601-951-9863
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Fax | 601-487-8897
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Provider Business Mailing Address
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Address Line | 1855 LAKELAND DR STE P231
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City | JACKSON
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State | MS
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Zip | 39216-4990
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Country | US
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Telephone | 601-951-9863
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Fax | 601-487-8897
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY A. ROBERSON
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Credential | M.D.
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Telephone | 601-951-9863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15474
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License Number State | MS
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