North Jackson Medical Clinic Pllc in Jackson - Internal Medicine
North Jackson Medical Clinic Pllc - NPI 1659471407
North Jackson Medical Clinic Pllc is a Internal Medicine in Jackson, Mississippi. North Jackson Medical Clinic Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for North Jackson Medical Clinic Pllc is 1659471407. The last update date is 2008-04-08.
North Jackson Medical Clinic Pllc's current location address is Po Box 4522, Jackson, Mississippi. You can contact this provider via phone number 6017130890 and fax number 6013663415. The mailing address for North Jackson Medical Clinic Pllc is Po Box 4522, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Jackson Medical Clinic Pllc |
|---|---|
| Address | Po Box 4522, Jackson, Mississippi |
| Phone Number | 6017130890 |
| Fax Number | 6013663415 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Shekoni F Adesola |
| Credentials | MD |
| Telephone Number | 6017130890 |
NPI Number Detail
| NPI Number | 1659471407 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | Po Box 4522 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392964522 |
| Phone Number | 6017130890 |
| Fax Number | 6013663415 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 15143 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117502 | MS | -- | |
| 220338401B | MS | BLUECROSS OF MISSISSIPPI | |
| 115572 | MS | -- | |
| 9015073 | MS | -- | |
| 109808399B | MS | BLUECROSS OF MISSISSIPPI |
Post Comment/ Review Below
What is the unique identification code assigned to North Jackson Medical Clinic Pllc by the Centers for Medicare & Medicaid Services?
The North Jackson Medical Clinic Pllc has been issued the NPI (National Provider Identifier) 1659471407. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the North Jackson Medical Clinic Pllc's physical address?
The North Jackson Medical Clinic Pllc is physically located at Po Box 4522, in the city of Jackson, MS, with the postal code 392964522.
What is North Jackson Medical Clinic Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for North Jackson Medical Clinic Pllc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
When was the North Jackson Medical Clinic Pllc's 1659471407 issued?
The North Jackson Medical Clinic Pllc's 1659471407 was issued on 2006-09-22.
As of what date were the North Jackson Medical Clinic Pllc's details last updated?
The information pertaining to the North Jackson Medical Clinic Pllc, including its address, specialty, and other details, was most recently updated on 2008-04-08.
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