Delta Convenient Care Pc in Jackson - Cardiovascular Disease
Delta Convenient Care Pc - NPI 1629016399
Delta Convenient Care Pc is a Cardiovascular Disease in Jackson, Tennessee. Delta Convenient Care Pc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Delta Convenient Care Pc is 1629016399. The last update date is 2014-06-05.
Delta Convenient Care Pc's current location address is 17 Centre Plaza Dr, Jackson, Tennessee. You can contact this provider via phone number 7315120104 and fax number 7315120938. The mailing address for Delta Convenient Care Pc is 17 Centre Plaza Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Delta Convenient Care Pc |
|---|---|
| Address | 17 Centre Plaza Dr, Jackson, Tennessee |
| Phone Number | 7315120104 |
| Fax Number | 7315120938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Hage-Korban Elie |
| Credentials | M.D. |
| Telephone Number | 7315120104 |
NPI Number Detail
| NPI Number | 1629016399 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 17 Centre Plaza Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383052862 |
| Phone Number | 7315120104 |
| Fax Number | 7315120938 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3720558 | TN | -- |
Post Comment/ Review Below
What is the Delta Convenient Care Pc's 1629016399?
The Delta Convenient Care Pc's NPI (National Provider Identifier) Number is 1629016399. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Delta Convenient Care Pc's facilities are geographically located?
The facilities of Delta Convenient Care Pc are physically situated at the following location: 17 Centre Plaza Dr, Jackson, TN, 383052862.
What is the area of specialization for Delta Convenient Care Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delta Convenient Care Pc is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629016399 to Delta Convenient Care Pc?
The Centers for Medicare & Medicaid Services originally issued the 1629016399 to Delta Convenient Care Pc on 2006-06-03.
When was the information related to Delta Convenient Care Pc most recently updated or refreshed?
The details pertaining to the Delta Convenient Care Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-05.
NPI Number: 1598760647
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