Milton O Medeiros in Jackson - Specialist

Milton O Medeiros - NPI 1366410599

Milton O Medeiros is a Specialist in Jackson, Tennessee. Milton O Medeiros practices all healthcare services and medical treatments related to Specialist. The NPI Number for Milton O Medeiros is 1366410599. The last update date is 2007-07-09.

Milton O Medeiros's current location address is 3035 N Highland Ave, Jackson, Tennessee. You can contact this provider via phone number 7316640899 and fax number 7316640946. The mailing address for Milton O Medeiros is 3035 N Highland Ave, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Milton O Medeiros
Address 3035 N Highland Ave, Jackson, Tennessee
Phone Number 7316640899
Fax Number 7316640946
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1366410599
Provider Enumeration Date 2006-03-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3035 N Highland Ave
City Jackson
State Tennessee (TN)
Post Code 383053411
Phone Number 7316640899
Fax Number 7316640946

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7727
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
3827978 TN --
34150 TN TLC NO
P00242733 TN RAILROAD MEDICARE NO
4105401 TN BCBS OF TENNESSEE
165679 TN UNISON NO

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FAQs about Milton O Medeiros

What is the unique 10-digit identifier code issued to Milton O Medeiros by the Centers for Medicare & Medicaid Services?

The Milton O Medeiros has been assigned the NPI (National Provider Identifier) 1366410599 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Milton O Medeiros located?

The Milton O Medeiros is located at 3035 N Highland Ave, Jackson, TN 383053411.

What is Milton O Medeiros's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Milton O Medeiros is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When was the Milton O Medeiros's 1366410599 issued?

The Milton O Medeiros's 1366410599 was issued on 2006-03-14.

When was the Milton O Medeiros's information last updated?

The Milton O Medeiros's information was last updated on 2007-07-09.

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