Patricia Weathersby in Greenwood - Specialist

Patricia Weathersby - NPI 1013905272

Patricia Weathersby is a Specialist in Greenwood, Mississippi. Patricia Weathersby practices all healthcare services and medical treatments related to Specialist. The NPI Number for Patricia Weathersby is 1013905272. The last update date is 2007-07-08.

Patricia Weathersby's current location address is 202 W Park Ave, Greenwood, Mississippi. You can contact this provider via phone number 6624530646 and fax number 6624556842. The mailing address for Patricia Weathersby is 202 W Park Ave, Greenwood, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Weathersby
Address 202 W Park Ave, Greenwood, Mississippi
Phone Number 6624530646
Fax Number 6624556842
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1013905272
Provider Enumeration Date 2005-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 202 W Park Ave
City Greenwood
State Mississippi (MS)
Post Code 389303009
Phone Number 6624530646
Fax Number 6624556842

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 8062
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
122953 MS --

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FAQs about Patricia Weathersby

What is the Patricia Weathersby's unique identification number?

The Patricia Weathersby has been assigned the NPI (National Provider Identifier) Number 1013905272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Patricia Weathersby?

The Patricia Weathersby is physically situated at 202 W Park Ave, in the city of Greenwood, state of MS, with the postal code 389303009.

What is the Patricia Weathersby's area of specialization and corresponding taxonomy classification?

The Patricia Weathersby's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When was the Patricia Weathersby's 1013905272 issued?

The Patricia Weathersby's 1013905272 was issued on 2005-10-12.

When was the information related to Patricia Weathersby most recently updated or refreshed?

The details pertaining to the Patricia Weathersby, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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