Janice Bacon in Canton - Pediatrics

Janice Bacon - NPI 1750438446

Janice Bacon is a Pediatrics in Canton, Mississippi. Janice Bacon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Janice Bacon is 1750438446. The last update date is 2007-07-08.

Janice Bacon's current location address is Po Box 588, Canton, Mississippi. You can contact this provider via phone number 6018595213 and fax number 6018598771. The mailing address for Janice Bacon is Po Box 588, Canton, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice Bacon
Address Po Box 588, Canton, Mississippi
Phone Number 6018595213
Fax Number 6018598771
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750438446
Provider Enumeration Date 2007-01-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 588
City Canton
State Mississippi (MS)
Post Code 390460588
Phone Number 6018595213
Fax Number 6018598771

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 10239
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15416 MS --

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FAQs about Janice Bacon

What is the unique identifier code issued to Janice Bacon by the Centers for Medicare & Medicaid Services?

The Janice Bacon has been assigned the NPI (National Provider Identifier) 1750438446. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Janice Bacon's facilities are situated?

The facilities of Janice Bacon are physically located at the following address: Po Box 588, Canton, MS, 390460588.

What is Janice Bacon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Janice Bacon's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1750438446 to Janice Bacon?

The Centers for Medicare & Medicaid Services assigned the 1750438446 to Janice Bacon on 2007-01-04.

As of what date were the details pertaining to Janice Bacon last refreshed?

The information related to the Janice Bacon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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