Oncology Consultants Pc in Jackson - Specialist
Oncology Consultants Pc - NPI 1063509354
Oncology Consultants Pc is a Specialist in Jackson, Tennessee. Oncology Consultants Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Oncology Consultants Pc is 1063509354. The last update date is 2020-08-22.
Oncology Consultants Pc's current location address is 1804 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316685335 and fax number 7316686670. The mailing address for Oncology Consultants Pc is 1804 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oncology Consultants Pc |
|---|---|
| Address | 1804 Highway 45 Byp, Jackson, Tennessee |
| Phone Number | 7316685335 |
| Fax Number | 7316686670 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kovalic J Jeffrey |
| Credentials | M.D. |
| Telephone Number | 7314256250 |
NPI Number Detail
| NPI Number | 1063509354 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1804 Highway 45 Byp |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383054436 |
| Phone Number | 7316685335 |
| Fax Number | 7316686670 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24422 |
|
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 |
|---|---|---|---|
| 3073988 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Oncology Consultants Pc by the Centers for Medicare & Medicaid Services?
The Oncology Consultants Pc has been assigned the NPI (National Provider Identifier) 1063509354. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Oncology Consultants Pc is physically located?
The Oncology Consultants Pc is physically situated at the following address: 1804 Highway 45 Byp, Jackson, TN, 383054436.
What is Oncology Consultants Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Oncology Consultants Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Oncology Consultants Pc receive the assignment of its 1063509354 from the Centers for Medicare & Medicaid Services?
The Oncology Consultants Pc was issued its 1063509354 by the Centers for Medicare & Medicaid Services on 2006-10-06.
As of what date were the details pertaining to Oncology Consultants Pc last refreshed?
The information related to the Oncology Consultants Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.