Jackson Ear Clinic Pa in Flowood - Specialist
Jackson Ear Clinic Pa - NPI 1093934002
Jackson Ear Clinic Pa is a Specialist in Flowood, Mississippi. Jackson Ear Clinic Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jackson Ear Clinic Pa is 1093934002. The last update date is 2020-08-12.
Jackson Ear Clinic Pa's current location address is 290 E Layfair Dr, Flowood, Mississippi. You can contact this provider via phone number 6019812825 and fax number 6019812827. The mailing address for Jackson Ear Clinic Pa is 290 E Layfair Dr, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Ear Clinic Pa |
|---|---|
| Address | 290 E Layfair Dr, Flowood, Mississippi |
| Phone Number | 6019812825 |
| Fax Number | 6019812827 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Peeples Kathy |
| Telephone Number | 6019812825 |
NPI Number Detail
| NPI Number | 1093934002 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-08-12 |
Provider Mailing Address Detail
| Address | 290 E Layfair Dr |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392329526 |
| Phone Number | 6019812825 |
| Fax Number | 6019812827 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11369 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4586854 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson Ear Clinic Pa by the Centers for Medicare & Medicaid Services?
The Jackson Ear Clinic Pa has been assigned the NPI (National Provider Identifier) 1093934002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jackson Ear Clinic Pa?
The Jackson Ear Clinic Pa is physically situated at 290 E Layfair Dr, in the city of Flowood, state of MS, with the postal code 392329526.
What is Jackson Ear Clinic Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Ear Clinic Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093934002 to Jackson Ear Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1093934002 to Jackson Ear Clinic Pa on 2007-04-25.
When was the Jackson Ear Clinic Pa's information last updated?
The Jackson Ear Clinic Pa's information was last updated on 2020-08-12.