Miriam J. Shatley in Brandon - Dermatology

Miriam J. Shatley - NPI 1235154121

Miriam J. Shatley is a Dermatology in Brandon, Mississippi. Miriam J. Shatley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Miriam J. Shatley is 1235154121. The last update date is 2007-07-09.

Miriam J. Shatley's current location address is 107 Heron Cove - Foxbay, Brandon, Mississippi. You can contact this provider via phone number 6019927002. The mailing address for Miriam J. Shatley is 107 Heron Cove - Foxbay, Brandon, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Miriam J. Shatley
Address 107 Heron Cove - Foxbay, Brandon, Mississippi
Phone Number 6019927002
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1235154121
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 107 Heron Cove - Foxbay
City Brandon
State Mississippi (MS)
Post Code 390478993
Phone Number 6019927002
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 14462
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14462 MS STATE MEDICAL LICENSE ##

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FAQs about Miriam J. Shatley

What is the unique identifier code issued to Miriam J. Shatley by the Centers for Medicare & Medicaid Services (CMS)?

The Miriam J. Shatley has been assigned the NPI (National Provider Identifier) 1235154121. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Miriam J. Shatley's facilities are situated?

The facilities of Miriam J. Shatley are physically located at the following address: 107 Heron Cove - Foxbay, Brandon, MS, 390478993.

What is the Miriam J. Shatley's area of specialization and corresponding taxonomy classification?

The Miriam J. Shatley's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1235154121 to Miriam J. Shatley?

The Centers for Medicare & Medicaid Services assigned the 1235154121 to Miriam J. Shatley on 2006-07-13.

As of what date was the information pertaining to Miriam J. Shatley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Miriam J. Shatley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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