Upa Pllc Ambulatory in Jackson - Pediatrics
Upa Pllc Ambulatory - NPI 1528185121
Upa Pllc Ambulatory is a Pediatrics in Jackson, Mississippi. Upa Pllc Ambulatory practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Upa Pllc Ambulatory is 1528185121. The last update date is 2008-06-19.
Upa Pllc Ambulatory's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842195. The mailing address for Upa Pllc Ambulatory is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Ambulatory |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019842195 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING E |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1528185121 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019842195 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
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 |
|---|---|---|---|
| 9014116 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Upa Pllc Ambulatory?
The Upa Pllc Ambulatory has been issued the NPI (National Provider Identifier) 1528185121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Upa Pllc Ambulatory's facilities are geographically located?
The facilities of Upa Pllc Ambulatory are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is the Upa Pllc Ambulatory's area of specialization and corresponding taxonomy classification?
The Upa Pllc Ambulatory's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1528185121 assigned to Upa Pllc Ambulatory?
The Upa Pllc Ambulatory was issued its 1528185121 on 2007-03-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Upa Pllc Ambulatory, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Upa Pllc Ambulatory, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-19.
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