William H Black in Jackson - Mohs-micrographic Surgery
William H Black - NPI 1912166703
William H Black is a Mohs-micrographic Surgery in Jackson, Mississippi. William H Black practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for William H Black is 1912166703. The last update date is 2017-10-06.
William H Black's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018158000. The mailing address for William H Black is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William H Black |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018158000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912166703 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2017-10-06 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018158000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 22568 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5637711 | MS | -- | |
| P01454816 | MS | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to William H Black by the Centers for Medicare & Medicaid Services?
The William H Black has been assigned the NPI (National Provider Identifier) 1912166703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the William H Black's physical address?
The William H Black is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is the William H Black's area of specialization and corresponding taxonomy classification?
The William H Black's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1912166703 to William H Black?
The William H Black received its 1912166703 assignment from the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date were the details pertaining to William H Black last refreshed?
The information related to the William H Black, including its address, specialty, and other relevant details, was last updated on 2017-10-06.
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