Ira Eugene Gaddy is a Specialist in Gulfport, Mississippi. Ira Eugene Gaddy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ira Eugene Gaddy is 1730298506. The last update date is 2020-08-10.
Ira Eugene Gaddy's current location address is 10051 Lorraine Road, Gulfport, Mississippi. You can contact this provider via phone number 2285397762 and fax number 2285394953. The mailing address for Ira Eugene Gaddy is 10051 Lorraine Road, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ira Eugene Gaddy |
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Address | 10051 Lorraine Road, Gulfport, Mississippi |
Phone Number | 2285397762 |
Fax Number | 2285394953 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1730298506 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
Address | 10051 Lorraine Road |
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City | Gulfport |
State | Mississippi (MS) |
Post Code | 395036001 |
Phone Number | 2285397762 |
Fax Number | 2285394953 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 8343 |
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 |
---|---|---|---|
6303560 | MS | -- | |
13310 | MS | -- |
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What is the unique 10-digit identification code issued to Ira Eugene Gaddy by the Centers for Medicare & Medicaid Services?
The Ira Eugene Gaddy has been assigned the NPI (National Provider Identifier) 1730298506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ira Eugene Gaddy is geographically located?
The Ira Eugene Gaddy is physically situated at the following location: 10051 Lorraine Road, Gulfport, MS, 395036001.
What is Ira Eugene Gaddy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ira Eugene Gaddy's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Ira Eugene Gaddy's 1730298506 issued?
The Ira Eugene Gaddy's 1730298506 was issued on 2006-08-29.
When was the information regarding Ira Eugene Gaddy most recently updated?
The details pertaining to the Ira Eugene Gaddy, including its address, specialty, and other relevant information, were last refreshed on 2020-08-10.
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