Jackson Ear, Nose And Throat Pa in Jackson - Otolaryngology
Jackson Ear, Nose And Throat Pa - NPI 1770790214
Jackson Ear, Nose And Throat Pa is a Otolaryngology in Jackson, Mississippi. Jackson Ear, Nose And Throat Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jackson Ear, Nose And Throat Pa is 1770790214. The last update date is 2010-12-09.
Jackson Ear, Nose And Throat Pa's current location address is 1421 N State St, Jackson, Mississippi. You can contact this provider via phone number 6013527655 and fax number 6013527658. The mailing address for Jackson Ear, Nose And Throat Pa is 1421 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Ear, Nose And Throat Pa |
|---|---|
| Address | 1421 N State St, Jackson, Mississippi |
| Phone Number | 6013527655 |
| Fax Number | 6013527658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sneed F William |
| Credentials | M.D. |
| Telephone Number | 6013527655 |
NPI Number Detail
| NPI Number | 1770790214 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2010-12-09 |
Provider Mailing Address Detail
| Address | 1421 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392021658 |
| Phone Number | 6013527655 |
| Fax Number | 6013527658 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 7717 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 587095012A | MS | BCBS OF MS | |
| 40014450 | MS | RAILROAD MEDICARE | |
| 115212 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Ear, Nose And Throat Pa?
The Jackson Ear, Nose And Throat Pa has been issued the NPI (National Provider Identifier) 1770790214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jackson Ear, Nose And Throat Pa?
The Jackson Ear, Nose And Throat Pa is situated at 1421 N State St, in the city of Jackson, state of MS, with the zip code 392021658.
What is the area of specialization for Jackson Ear, Nose And Throat Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jackson Ear, Nose And Throat Pa is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did Jackson Ear, Nose And Throat Pa receive its 1770790214 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Ear, Nose And Throat Pa was assigned its 1770790214 on 2007-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jackson Ear, Nose And Throat Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Ear, Nose And Throat Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC