Search › Mississippi › 207V00000X
Robert Desantis, MD
NPI 1053350223 · on the registry since 2006
Practice
- Address
- 1203 Ave B
Ellisville, MS 39437 - Phone
- (601) 477-8553
- Fax
- (601) 649-9944
- Organisation at this address
- South Central Clinics, Inc
South Central Clinics, Inc.
South Central Clinics, Inc.
South Central Regional Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- AL, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi