Patricia Renee Obi in Jackson - Specialist

Patricia Renee Obi - NPI 1043213150

Patricia Renee Obi is a Specialist in Jackson, Tennessee. Patricia Renee Obi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Patricia Renee Obi is 1043213150. The last update date is 2010-03-18.

Patricia Renee Obi's current location address is 168 W University Pkwy, Jackson, Tennessee. You can contact this provider via phone number 7315120043 and fax number 7315120015. The mailing address for Patricia Renee Obi is 168 W University Pkwy, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Renee Obi
Address 168 W University Pkwy, Jackson, Tennessee
Phone Number 7315120043
Fax Number 7315120015
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043213150
Provider Enumeration Date 2005-05-23
Last Updated Date 2010-03-18

Provider Mailing Address Detail

Address 168 W University Pkwy
City Jackson
State Tennessee (TN)
Post Code 3830516240
Phone Number 7315120043
Fax Number 7315120015

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 17895
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
3377799 TN --
621861114 TN TAX ID

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FAQs about Patricia Renee Obi

What is the unique provider identifier assigned to Patricia Renee Obi?

The Patricia Renee Obi has been issued the NPI (National Provider Identifier) 1043213150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Patricia Renee Obi's physical address?

The Patricia Renee Obi is physically located at 168 W University Pkwy, in the city of Jackson, TN, with the postal code 3830516240.

What is Patricia Renee Obi's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia Renee Obi's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043213150 to Patricia Renee Obi?

The Centers for Medicare & Medicaid Services originally issued the 1043213150 to Patricia Renee Obi on 2005-05-23.

As of what date were the details pertaining to Patricia Renee Obi last refreshed?

The information related to the Patricia Renee Obi, including its address, specialty, and other relevant details, was last updated on 2010-03-18.

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