Prewitt Medical Care Clinic Pc in Jackson - Allergy & Immunology
Prewitt Medical Care Clinic Pc - NPI 1477578235
Prewitt Medical Care Clinic Pc is a Allergy & Immunology in Jackson, Tennessee. Prewitt Medical Care Clinic Pc practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Prewitt Medical Care Clinic Pc is 1477578235. The last update date is 2010-12-13.
Prewitt Medical Care Clinic Pc's current location address is 1804 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316608759 and fax number 7316608739. The mailing address for Prewitt Medical Care Clinic Pc is 1804 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Prewitt Medical Care Clinic Pc |
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Address | 1804 Highway 45 Byp, Jackson, Tennessee |
Phone Number | 7316608759 |
Fax Number | 7316608739 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Prewitt Jewayne Darrion |
Credentials | M.D. |
Telephone Number | 7312857530 |
NPI Number Detail
NPI Number | 1477578235 |
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Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2010-12-13 |
Provider Mailing Address Detail
Address | 1804 Highway 45 Byp |
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City | Jackson |
State | Tennessee (TN) |
Post Code | 383054436 |
Phone Number | 7316608759 |
Fax Number | 7316608739 |
Provider's Primary Taxonomy Detail
Speciality | Allergy & Immunology |
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Taxonomy | 207Ra0201X |
Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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What is the unique provider identifier assigned to Prewitt Medical Care Clinic Pc?
The Prewitt Medical Care Clinic Pc has been issued the NPI (National Provider Identifier) 1477578235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Prewitt Medical Care Clinic Pc's facilities are situated?
The facilities of Prewitt Medical Care Clinic Pc are physically located at the following address: 1804 Highway 45 Byp, Jackson, TN, 383054436.
What is the area of specialization for Prewitt Medical Care Clinic Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prewitt Medical Care Clinic Pc is Allergy & Immunology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0201X.
On what date did the Prewitt Medical Care Clinic Pc receive its 1477578235 assignment from the Centers for Medicare & Medicaid Services?
The Prewitt Medical Care Clinic Pc was assigned its 1477578235 by the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information regarding Prewitt Medical Care Clinic Pc most recently updated?
The details pertaining to the Prewitt Medical Care Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2010-12-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC