Central Medical Clinic, P.A. in Jackson - Internal Medicine
Central Medical Clinic, P.A. - NPI 1396806857
Central Medical Clinic, P.A. is a Internal Medicine in Jackson, Mississippi. Central Medical Clinic, P.A. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Central Medical Clinic, P.A. is 1396806857. The last update date is 2007-12-14.
Central Medical Clinic, P.A.'s current location address is 1190 N State St, Jackson, Mississippi. You can contact this provider via phone number 6013527011 and fax number 6013523173. The mailing address for Central Medical Clinic, P.A. is 1190 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Central Medical Clinic, P.A. |
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Address | 1190 N State St, Jackson, Mississippi |
Phone Number | 6013527011 |
Fax Number | 6013523173 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Delashmet B Gordon |
Credentials | M.D. |
Telephone Number | 6013527011 |
NPI Number Detail
NPI Number | 1396806857 |
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Provider Enumeration Date | 2006-12-12 |
Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
Address | 1190 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392022413 |
Phone Number | 6013527011 |
Fax Number | 6013523173 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4200767 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Central Medical Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Central Medical Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1396806857. 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 physical location address of Central Medical Clinic, P.A.?
The Central Medical Clinic, P.A. is physically situated at 1190 N State St, in the city of Jackson, state of MS, with the postal code 392022413.
What is Central Medical Clinic, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Medical Clinic, P.A. is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Central Medical Clinic, P.A. receive its 1396806857 assignment from the Centers for Medicare & Medicaid Services?
The Central Medical Clinic, P.A. was assigned its 1396806857 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the Central Medical Clinic, P.A.'s information last updated?
The Central Medical Clinic, P.A.'s information was last updated on 2007-12-14.
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