Catherine Johnson Mincy in Booneville - General Practice

Catherine Johnson Mincy - NPI 1679627335

Catherine Johnson Mincy is a General Practice in Booneville, Mississippi. Catherine Johnson Mincy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Catherine Johnson Mincy is 1679627335. The last update date is 2007-07-09.

Catherine Johnson Mincy's current location address is 114 Woodridge Dr, Booneville, Mississippi. You can contact this provider via phone number 6627288133 and fax number 6627286903. The mailing address for Catherine Johnson Mincy is 114 Woodridge Dr, Booneville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Catherine Johnson Mincy
Address 114 Woodridge Dr, Booneville, Mississippi
Phone Number 6627288133
Fax Number 6627286903
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1679627335
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 114 Woodridge Dr
City Booneville
State Mississippi (MS)
Post Code 388298294
Phone Number 6627288133
Fax Number 6627286903

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3009-97
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9015740 MS --

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FAQs about Catherine Johnson Mincy

What is the unique provider identifier assigned to Catherine Johnson Mincy?

The Catherine Johnson Mincy has been issued the NPI (National Provider Identifier) 1679627335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Catherine Johnson Mincy's facilities are situated?

The facilities of Catherine Johnson Mincy are physically located at the following address: 114 Woodridge Dr, Booneville, MS, 388298294.

What is the area of specialization for Catherine Johnson Mincy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Catherine Johnson Mincy is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679627335 to Catherine Johnson Mincy?

The Catherine Johnson Mincy received its 1679627335 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.

When was the information regarding Catherine Johnson Mincy most recently updated?

The details pertaining to the Catherine Johnson Mincy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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