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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT LEON CROCKER, M.D.

Active Sole Proprietor

DR. ROBERT LEON CROCKER, M.D. is a Family Medicine healthcare provider located in JACKSON, Mississippi. NPI 1356580542 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSON, MS

Registration Details

NPI Number
1356580542
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2009 (17.480629608722 yrs)
Last Updated
Feb 11, 2009
Licenses
08720 (MS)
A70404 (CA)
040080 (CT)
C1-0006033 (DE)
11849 (HI)
Sole Proprietor
Yes

Practice Information

Address
4264 E RIDGE DR
JACKSON, MS, 392116100
Browse MS providers · Browse ZIP 39211
Phone
6014219177
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in JACKSON, MS

Name Credential NPI
JOSEPH SAMUEL HUNTER MD 1467459149
DR. JANET L. RICKS D.O. 1841284478
STEPHEN PAUL EPPERSON MD 1013902725
DR. SAMUEL CHINWUBA OKOYE MD 1851380273
DR. ROBERT L MOORE M.D. 1841281276
DR. TODD A CLAYTON M.D. 1386621936
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.