Internal Medicine Clinic Of Clarksdale in Clarksdale - Specialist
Internal Medicine Clinic Of Clarksdale - NPI 1457554479
Internal Medicine Clinic Of Clarksdale is a Specialist in Clarksdale, Mississippi. Internal Medicine Clinic Of Clarksdale practices all healthcare services and medical treatments related to Specialist. The NPI Number for Internal Medicine Clinic Of Clarksdale is 1457554479. The last update date is 2019-01-14.
Internal Medicine Clinic Of Clarksdale's current location address is 1967 Hospital Dr, Clarksdale, Mississippi. You can contact this provider via phone number 6626245481. The mailing address for Internal Medicine Clinic Of Clarksdale is 1967 Hospital Dr, Clarksdale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Internal Medicine Clinic Of Clarksdale |
|---|---|
| Address | 1967 Hospital Dr, Clarksdale, Mississippi |
| Phone Number | 6626245481 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Blount Sandra |
| Telephone Number | 6626245481 |
NPI Number Detail
| NPI Number | 1457554479 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2019-01-14 |
Provider Mailing Address Detail
| Address | 1967 Hospital Dr |
|---|---|
| City | Clarksdale |
| State | Mississippi (MS) |
| Post Code | 386147203 |
| Phone Number | 6626245481 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16074 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119669 | MS | -- | |
| 7922048 | MS | -- |
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What is the unique 10-digit identification code issued to Internal Medicine Clinic Of Clarksdale by the Centers for Medicare & Medicaid Services?
The Internal Medicine Clinic Of Clarksdale has been assigned the NPI (National Provider Identifier) 1457554479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Internal Medicine Clinic Of Clarksdale located?
The Internal Medicine Clinic Of Clarksdale is located at 1967 Hospital Dr, Clarksdale, MS 386147203.
What is Internal Medicine Clinic Of Clarksdale's specialized field of practice, and what is the corresponding taxonomy classification code?
The Internal Medicine Clinic Of Clarksdale's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457554479 to Internal Medicine Clinic Of Clarksdale?
The Centers for Medicare & Medicaid Services originally issued the 1457554479 to Internal Medicine Clinic Of Clarksdale on 2007-06-07.
When was the Internal Medicine Clinic Of Clarksdale's information last updated?
The Internal Medicine Clinic Of Clarksdale's information was last updated on 2019-01-14.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN