Jackson Neurosurgery Clinic, Pllc in Flowood - Specialist
Jackson Neurosurgery Clinic, Pllc - NPI 1740364785
Jackson Neurosurgery Clinic, Pllc is a Specialist in Flowood, Mississippi. Jackson Neurosurgery Clinic, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jackson Neurosurgery Clinic, Pllc is 1740364785. The last update date is 2016-10-28.
Jackson Neurosurgery Clinic, Pllc's current location address is 1080 River Oaks Dr, Flowood, Mississippi. You can contact this provider via phone number 6013661011 and fax number 6019326111. The mailing address for Jackson Neurosurgery Clinic, Pllc is 1080 River Oaks Dr, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Neurosurgery Clinic, Pllc |
|---|---|
| Address | 1080 River Oaks Dr, Flowood, Mississippi |
| Phone Number | 6013661011 |
| Fax Number | 6019326111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Lewis Zoe |
| Telephone Number | 6013211504 |
NPI Number Detail
| NPI Number | 1740364785 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2016-10-28 |
Provider Mailing Address Detail
| Address | 1080 River Oaks Dr |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392329779 |
| Phone Number | 6013661011 |
| Fax Number | 6019326111 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| 8288260 | MS | -- | |
| C03059 | MS | MEDICARE GROUP | |
| CK4238 | MS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jackson Neurosurgery Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Jackson Neurosurgery Clinic, Pllc has been issued the NPI (National Provider Identifier) 1740364785, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackson Neurosurgery Clinic, Pllc?
The Jackson Neurosurgery Clinic, Pllc is situated at 1080 River Oaks Dr, in the city of Flowood, state of MS, with the zip code 392329779.
What is Jackson Neurosurgery Clinic, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackson Neurosurgery Clinic, Pllc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740364785 to Jackson Neurosurgery Clinic, Pllc?
The Jackson Neurosurgery Clinic, Pllc received its 1740364785 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date were the details related to Jackson Neurosurgery Clinic, Pllc most recently updated or revised?
The information pertaining to Jackson Neurosurgery Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-28.
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