Maria Caroline Antique in Jackson - Internal Medicine

Maria Caroline Antique - NPI 1245278415

Maria Caroline Antique is a Internal Medicine in Jackson, Tennessee. Maria Caroline Antique practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Maria Caroline Antique is 1245278415. The last update date is 2015-02-26.

Maria Caroline Antique's current location address is 560 Mccellan Road, Jackson, Tennessee. You can contact this provider via phone number 7312345717 and fax number 4239796333. The mailing address for Maria Caroline Antique is 560 Mccellan Road, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Caroline Antique
Address 560 Mccellan Road, Jackson, Tennessee
Phone Number 7312345717
Fax Number 4239796333
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1245278415
Provider Enumeration Date 2006-06-02
Last Updated Date 2015-02-26

Provider Mailing Address Detail

Address 560 Mccellan Road
City Jackson
State Tennessee (TN)
Post Code 383059688
Phone Number 7312345717
Fax Number 4239796333

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35423
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
3893940 TN MEDICARE
3893940 TN --
4105658 BCBS

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FAQs about Maria Caroline Antique

What is the Maria Caroline Antique's unique identification number?

The Maria Caroline Antique has been assigned the NPI (National Provider Identifier) Number 1245278415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

What is the unique 10-digit identification code assigned to Maria Caroline Antique by the Centers for Medicare & Medicaid Services?

The Maria Caroline Antique has been issued the NPI (National Provider Identifier) 1245278415, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Maria Caroline Antique's physical address?

The Maria Caroline Antique is physically located at 560 Mccellan Road, in the city of Jackson, TN, with the postal code 383059688.

When did the Maria Caroline Antique receive its 1245278415?

The Maria Caroline Antique was issued its 1245278415 on 2006-06-02, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Maria Caroline Antique most recently updated or revised?

The information pertaining to Maria Caroline Antique, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-26.

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