Jackson Orthopaedic Clinic, Pa in Jackson - Orthopaedic Surgery
Jackson Orthopaedic Clinic, Pa - NPI 1215084967
Jackson Orthopaedic Clinic, Pa is a Orthopaedic Surgery in Jackson, Mississippi. Jackson Orthopaedic Clinic, Pa practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jackson Orthopaedic Clinic, Pa is 1215084967. The last update date is 2013-04-08.
Jackson Orthopaedic Clinic, Pa's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019817212. The mailing address for Jackson Orthopaedic Clinic, Pa is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Orthopaedic Clinic, Pa |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6019817212 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gandy J David |
| Credentials | M.D. |
| Telephone Number | 6019817212 |
NPI Number Detail
| NPI Number | 1215084967 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2013-04-08 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164643 |
| Phone Number | 6019817212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 7306 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280226 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jackson Orthopaedic Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Jackson Orthopaedic Clinic, Pa has been assigned the NPI (National Provider Identifier) 1215084967 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 physical location address of Jackson Orthopaedic Clinic, Pa?
The Jackson Orthopaedic Clinic, Pa is physically situated at 971 Lakeland Dr, in the city of Jackson, state of MS, with the postal code 392164643.
What is the Jackson Orthopaedic Clinic, Pa's area of specialization and corresponding taxonomy classification?
The Jackson Orthopaedic Clinic, Pa's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.
When did the Jackson Orthopaedic Clinic, Pa receive its 1215084967?
The Jackson Orthopaedic Clinic, Pa was issued its 1215084967 on 2007-01-04, which is the date when the organization was assigned this unique identifier.
When was the Jackson Orthopaedic Clinic, Pa's information last updated?
The Jackson Orthopaedic Clinic, Pa's information was last updated on 2013-04-08.