Jackson Healthcare For Women Pa in Flowood - Obstetrics & Gynecology

Jackson Healthcare For Women Pa - NPI 1922143650

Jackson Healthcare For Women Pa is a Obstetrics & Gynecology in Flowood, Mississippi. Jackson Healthcare For Women Pa practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jackson Healthcare For Women Pa is 1922143650. The last update date is 2014-07-02.

Jackson Healthcare For Women Pa's current location address is 291 E Layfair Dr, Flowood, Mississippi. You can contact this provider via phone number 6019369190 and fax number 6019366181. The mailing address for Jackson Healthcare For Women Pa is 291 E Layfair Dr, Flowood, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jackson Healthcare For Women Pa
Address 291 E Layfair Dr, Flowood, Mississippi
Phone Number 6019369190
Fax Number 6019366181
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kellum B Roy
Credentials MD
Telephone Number 6019369190

NPI Number Detail

NPI Number 1922143650
Provider Enumeration Date 2007-02-20
Last Updated Date 2014-07-02

Provider Mailing Address Detail

Address 291 E Layfair Dr
City Flowood
State Mississippi (MS)
Post Code 392329527
Phone Number 6019369190
Fax Number 6019366181

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

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FAQs about Jackson Healthcare For Women Pa

What is the unique identifier code issued to Jackson Healthcare For Women Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Jackson Healthcare For Women Pa has been assigned the NPI (National Provider Identifier) 1922143650. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jackson Healthcare For Women Pa is located?

The Jackson Healthcare For Women Pa is situated at the following address: 291 E Layfair Dr, Flowood, MS, 392329527.

What is the Jackson Healthcare For Women Pa's specialty and taxonomy code?

The Jackson Healthcare For Women Pa's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.

On what date did the Jackson Healthcare For Women Pa receive the assignment of its 1922143650 from the Centers for Medicare & Medicaid Services?

The Jackson Healthcare For Women Pa was issued its 1922143650 by the Centers for Medicare & Medicaid Services on 2007-02-20.

When was the information pertaining to Jackson Healthcare For Women Pa most recently updated or revised?

The details related to Jackson Healthcare For Women Pa, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-02.

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