East Metro Family Medical Clinic in Richland - Medical Genetics, Ph.d. Medical Genetics

East Metro Family Medical Clinic - NPI 1750447926

East Metro Family Medical Clinic is a Medical Genetics, Ph.d. Medical Genetics in Richland, Mississippi. East Metro Family Medical Clinic practices all healthcare services and medical treatments related to Medical Genetics, Ph.d. Medical Genetics. The NPI Number for East Metro Family Medical Clinic is 1750447926. The last update date is 2013-12-03.

East Metro Family Medical Clinic's current location address is 811 Highway 49 S, Richland, Mississippi. You can contact this provider via phone number 6019325060 and fax number 6019325062. The mailing address for East Metro Family Medical Clinic is 811 Highway 49 S, Richland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Metro Family Medical Clinic
Address 811 Highway 49 S, Richland, Mississippi
Phone Number 6019325060
Fax Number 6019325062
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gibson A. Don
Credentials M.D.
Telephone Number 6019325060

NPI Number Detail

NPI Number 1750447926
Provider Enumeration Date 2006-12-29
Last Updated Date 2013-12-03

Provider Mailing Address Detail

Address 811 Highway 49 S
City Richland
State Mississippi (MS)
Post Code 392189408
Phone Number 6019325060
Fax Number 6019325062

Provider's Primary Taxonomy Detail

Speciality Medical Genetics, Ph.d. Medical Genetics
Taxonomy 170100000X
Licence No 7980
Definition:
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4457077 MS --

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FAQs about East Metro Family Medical Clinic

What is the unique 10-digit identification code issued to East Metro Family Medical Clinic by the Centers for Medicare & Medicaid Services?

The East Metro Family Medical Clinic has been assigned the NPI (National Provider Identifier) 1750447926 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where East Metro Family Medical Clinic is located?

The East Metro Family Medical Clinic is situated at the following address: 811 Highway 49 S, Richland, MS, 392189408.

What is East Metro Family Medical Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for East Metro Family Medical Clinic is Medical Genetics, Ph.d. Medical Genetics, and the taxonomy classification code that categorizes this area of expertise is 170100000X.

On what date did the East Metro Family Medical Clinic receive the assignment of its 1750447926 from the Centers for Medicare & Medicaid Services?

The East Metro Family Medical Clinic was issued its 1750447926 by the Centers for Medicare & Medicaid Services on 2006-12-29.

As of what date were the details pertaining to East Metro Family Medical Clinic last refreshed?

The information related to the East Metro Family Medical Clinic, including its address, specialty, and other relevant details, was last updated on 2013-12-03.

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