Starkville Pediatric Clinic, Pllc in Starkville - Pediatrics

Starkville Pediatric Clinic, Pllc - NPI 1477660520

Starkville Pediatric Clinic, Pllc is a Pediatrics in Starkville, Mississippi. Starkville Pediatric Clinic, Pllc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Starkville Pediatric Clinic, Pllc is 1477660520. The last update date is 2020-08-22.

Starkville Pediatric Clinic, Pllc's current location address is 102 Doctors Park, Starkville, Mississippi. You can contact this provider via phone number 6623230999 and fax number 6623240250. The mailing address for Starkville Pediatric Clinic, Pllc is 102 Doctors Park, Starkville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Starkville Pediatric Clinic, Pllc
Address 102 Doctors Park, Starkville, Mississippi
Phone Number 6623230999
Fax Number 6623240250
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN/
Authorized Official Name Shirley Deborah
Credentials MD
Telephone Number 6623230999

NPI Number Detail

NPI Number 1477660520
Provider Enumeration Date 2006-08-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 102 Doctors Park
City Starkville
State Mississippi (MS)
Post Code 397592570
Phone Number 6623230999
Fax Number 6623240250

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
9015837 MS --

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FAQs about Starkville Pediatric Clinic, Pllc

What is the unique 10-digit identifier code assigned to Starkville Pediatric Clinic, Pllc by the Centers for Medicare & Medicaid Services?

The Starkville Pediatric Clinic, Pllc has been issued the NPI (National Provider Identifier) 1477660520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Starkville Pediatric Clinic, Pllc located?

The Starkville Pediatric Clinic, Pllc is located at 102 Doctors Park, Starkville, MS 397592570.

What is Starkville Pediatric Clinic, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Starkville Pediatric Clinic, Pllc's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477660520 to Starkville Pediatric Clinic, Pllc?

The Starkville Pediatric Clinic, Pllc received its 1477660520 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.

When was the information related to Starkville Pediatric Clinic, Pllc most recently updated or refreshed?

The details pertaining to the Starkville Pediatric Clinic, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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