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Contact Information

ROBERT C BUCKLEY, MD
499 GLOSTER CREEK VLG STE D4
TUPELO, MS38801-4711
 Phone: 662-377-6630
 Fax: 662-377-6635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT C BUCKLEY · (Male)

NPI # 1093786980
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 12823
  • MS Medicaid 00110707
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSP/GOLDEN TRIANGLE INC - (Acute Care)
    2520 5TH ST N
    COLUMBUS, MS 39701
  • NORTH MISSISSIPPI MEDICAL CENTER - (Acute Care)
    830 S GLOSTER
    TUPELO, MS 38801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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