Mccomb Urology Clinic, P.A. in Mccomb - Specialist
Mccomb Urology Clinic, P.A. - NPI 1073600409
Mccomb Urology Clinic, P.A. is a Specialist in Mccomb, Mississippi. Mccomb Urology Clinic, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mccomb Urology Clinic, P.A. is 1073600409. The last update date is 2022-07-21.
Mccomb Urology Clinic, P.A.'s current location address is 300 Rawls Dr Ste 1000, Mccomb, Mississippi. You can contact this provider via phone number 6016841261 and fax number 6016843649. The mailing address for Mccomb Urology Clinic, P.A. is 300 Rawls Dr Ste 1000, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mccomb Urology Clinic, P.A. |
|---|---|
| Address | 300 Rawls Dr Ste 1000, Mccomb, Mississippi |
| Phone Number | 6016841261 |
| Fax Number | 6016843649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Simo Benjamin Jose |
| Credentials | MD |
| Telephone Number | 6016841261 |
NPI Number Detail
| NPI Number | 1073600409 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 300 Rawls Dr Ste 1000 |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396482861 |
| Phone Number | 6016841261 |
| Fax Number | 6016843649 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7944 |
|
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 |
|---|---|---|---|
| 16344 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mccomb Urology Clinic, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Mccomb Urology Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1073600409. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mccomb Urology Clinic, P.A. is physically located?
The Mccomb Urology Clinic, P.A. is situated at the following address: 300 Rawls Dr Ste 1000, Mccomb, MS 396482861.
What is the Mccomb Urology Clinic, P.A.'s specialty and taxonomy code?
The Mccomb Urology Clinic, P.A.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073600409 to Mccomb Urology Clinic, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1073600409 to Mccomb Urology Clinic, P.A. on 2006-10-06.
When was the information related to Mccomb Urology Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Mccomb Urology Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.