Clarence A Justice in Tupelo - Gastroenterology

Clarence A Justice - NPI 1184614620

Clarence A Justice is a Gastroenterology in Tupelo, Mississippi. Clarence A Justice practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Clarence A Justice is 1184614620. The last update date is 2010-08-13.

Clarence A Justice's current location address is Po Box 21, Tupelo, Mississippi. You can contact this provider via phone number 6626805565 and fax number 6626805654. The mailing address for Clarence A Justice is Po Box 21, Tupelo, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Clarence A Justice
Address Po Box 21, Tupelo, Mississippi
Phone Number 6626805565
Fax Number 6626805654
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1184614620
Provider Enumeration Date 2005-10-26
Last Updated Date 2010-08-13

Provider Mailing Address Detail

Address Po Box 21
City Tupelo
State Mississippi (MS)
Post Code 388020021
Phone Number 6626805565
Fax Number 6626805654

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 20969
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5186329 MS --
3334430 TN --

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FAQs about Clarence A Justice

What is the unique 10-digit identifier code issued to Clarence A Justice by the Centers for Medicare & Medicaid Services?

The Clarence A Justice has been assigned the NPI (National Provider Identifier) 1184614620 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Clarence A Justice is physically located?

The Clarence A Justice is physically situated at the following address: Po Box 21, Tupelo, MS, 388020021.

What is the area of specialization for Clarence A Justice, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Clarence A Justice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184614620 to Clarence A Justice?

The Centers for Medicare & Medicaid Services originally issued the 1184614620 to Clarence A Justice on 2005-10-26.

As of what date were the Clarence A Justice's details last updated?

The information pertaining to the Clarence A Justice, including its address, specialty, and other details, was most recently updated on 2010-08-13.

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