Rlgmdpa Inc in Vicksburg - Family Medicine

Rlgmdpa Inc - NPI 1497819726

Rlgmdpa Inc is a Family Medicine in Vicksburg, Mississippi. Rlgmdpa Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rlgmdpa Inc is 1497819726. The last update date is 2008-04-16.

Rlgmdpa Inc's current location address is 1901 Mission 66, Vicksburg, Mississippi. You can contact this provider via phone number 6016360097 and fax number 6016299969. The mailing address for Rlgmdpa Inc is 1901 Mission 66, Vicksburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rlgmdpa Inc
Address 1901 Mission 66, Vicksburg, Mississippi
Phone Number 6016360097
Fax Number 6016299969
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADM
Authorized Official Name Giffin Lee Robert
Credentials M.D.
Telephone Number 6016360097

NPI Number Detail

NPI Number 1497819726
Provider Enumeration Date 2006-12-21
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 1901 Mission 66
City Vicksburg
State Mississippi (MS)
Post Code 391803711
Phone Number 6016360097
Fax Number 6016299969

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 9966
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
114253 MS --

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FAQs about Rlgmdpa Inc

What is the unique 10-digit identification code issued to Rlgmdpa Inc by the Centers for Medicare & Medicaid Services?

The Rlgmdpa Inc has been assigned the NPI (National Provider Identifier) 1497819726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Rlgmdpa Inc's facilities are geographically located?

The facilities of Rlgmdpa Inc are physically situated at the following location: 1901 Mission 66, Vicksburg, MS, 391803711.

What is the Rlgmdpa Inc's specialty and taxonomy code?

The Rlgmdpa Inc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497819726 to Rlgmdpa Inc?

The Rlgmdpa Inc received its 1497819726 assignment from the Centers for Medicare & Medicaid Services on 2006-12-21.

As of what date were the details related to Rlgmdpa Inc most recently updated or revised?

The information pertaining to Rlgmdpa Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-16.

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