Doctor Name: | MR. ROBERT D HEARN |
NPI Number: | 1396122628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 802061140 |
Business Practice Address: | 290 Alma Kirk Rd De Kalb, MS - 393288144 |
Business Phone Number: | 6015758932 |
Business Fax Number: | 6017434173 |
Mailing Address: | 290 Alma Kirk Rd, DE KALB |
State: | MS |
Postal Code: | 393288144 |
Phone Number: | 6015758932 |
Fax Number: | 6017434173 |
NPI Enumeration Date: | 05/06/2015 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 802061140 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |