Benjamin Clark Dillard in Jackson - Pediatric Emergency Medicine
Benjamin Clark Dillard - NPI 1639106636
Benjamin Clark Dillard is a Pediatric Emergency Medicine in Jackson, Mississippi. Benjamin Clark Dillard practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Benjamin Clark Dillard is 1639106636. The last update date is 2012-06-14.
Benjamin Clark Dillard's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842000. The mailing address for Benjamin Clark Dillard is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Clark Dillard |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019842000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639106636 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019842000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 15975 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 839845 | MS | -- | |
| 370000378 | MS | MEDICARE PIN 2007 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Benjamin Clark Dillard by the Centers for Medicare & Medicaid Services?
The Benjamin Clark Dillard has been issued the NPI (National Provider Identifier) 1639106636, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Benjamin Clark Dillard's facilities are geographically located?
The facilities of Benjamin Clark Dillard are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Benjamin Clark Dillard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Benjamin Clark Dillard's area of specialization is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0204X.
On what date did the Benjamin Clark Dillard receive its 1639106636 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Clark Dillard was assigned its 1639106636 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date were the details related to Benjamin Clark Dillard most recently updated or revised?
The information pertaining to Benjamin Clark Dillard, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-14.
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