Evanna Proctor in Jackson - Internal Medicine

Evanna Proctor - NPI 1275500274

Evanna Proctor is a Internal Medicine in Jackson, Tennessee. Evanna Proctor practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Evanna Proctor is 1275500274. The last update date is 2017-10-09.

Evanna Proctor's current location address is Po Box 400, Jackson, Tennessee. You can contact this provider via phone number 7314238697 and fax number 7314225743. The mailing address for Evanna Proctor is Po Box 400, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Evanna Proctor
Address Po Box 400, Jackson, Tennessee
Phone Number 7314238697
Fax Number 7314225743
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1275500274
Provider Enumeration Date 2006-03-08
Last Updated Date 2017-10-09

Provider Mailing Address Detail

Address Po Box 400
City Jackson
State Tennessee (TN)
Post Code 383020400
Phone Number 7314238697
Fax Number 7314225743

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD29082
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
3810262 TN --

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FAQs about Evanna Proctor

What is the unique 10-digit identifier code issued to Evanna Proctor by the Centers for Medicare & Medicaid Services?

The Evanna Proctor has been assigned the NPI (National Provider Identifier) 1275500274 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Evanna Proctor is located?

The Evanna Proctor is situated at the following address: Po Box 400, Jackson, TN, 383020400.

What is Evanna Proctor's specialized field of practice, and what is the corresponding taxonomy classification code?

The Evanna Proctor's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When did the Evanna Proctor receive its 1275500274?

The Evanna Proctor was issued its 1275500274 on 2006-03-08, which is the date when the organization was assigned this unique identifier.

When was the information regarding Evanna Proctor most recently updated?

The details pertaining to the Evanna Proctor, including its address, specialty, and other relevant information, were last refreshed on 2017-10-09.

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