Mary S Missak in Southaven - Internal Medicine
Mary S Missak - NPI 1962507061
Mary S Missak is a Internal Medicine in Southaven, Mississippi. Mary S Missak practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary S Missak is 1962507061. The last update date is 2007-07-08.
Mary S Missak's current location address is 7680 Airways Blvd, Southaven, Mississippi. You can contact this provider via phone number 6623491999 and fax number 6623499734. The mailing address for Mary S Missak is 7680 Airways Blvd, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary S Missak |
|---|---|
| Address | 7680 Airways Blvd, Southaven, Mississippi |
| Phone Number | 6623491999 |
| Fax Number | 6623499734 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962507061 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7680 Airways Blvd |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386715304 |
| Phone Number | 6623491999 |
| Fax Number | 6623499734 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 16715 |
|
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 |
|---|---|---|---|
| 3152270 | TN | BLUE CROSS | |
| 122932 | MAILHANDLERS | ||
| 640922089001 | TN | CHAMPUS | |
| 122932 | MS | -- | |
| 3149420 | TN | TN BLUE CROSS FOR MS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary S Missak by the Centers for Medicare & Medicaid Services?
The Mary S Missak has been issued the NPI (National Provider Identifier) 1962507061 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary S Missak?
The Mary S Missak is physically situated at 7680 Airways Blvd, in the city of Southaven, state of MS, with the postal code 386715304.
What is the Mary S Missak's area of specialization and corresponding taxonomy classification?
The Mary S Missak's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1962507061 to Mary S Missak?
The Mary S Missak received its 1962507061 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the information pertaining to Mary S Missak most recently updated or revised?
The details related to Mary S Missak, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.