Upa Pllc Endocrinology in Jackson - Pediatric Endocrinology
Upa Pllc Endocrinology - NPI 1285787044
Upa Pllc Endocrinology is a Pediatric Endocrinology in Jackson, Mississippi. Upa Pllc Endocrinology practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Upa Pllc Endocrinology is 1285787044. The last update date is 2020-08-22.
Upa Pllc Endocrinology's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018155052. The mailing address for Upa Pllc Endocrinology is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Upa Pllc Endocrinology |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6018155052 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Evans B Owen |
Credentials | M.D. |
Telephone Number | 6019845214 |
NPI Number Detail
NPI Number | 1285787044 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6018155052 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Endocrinology |
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Taxonomy | 2080P0205X |
Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9014120 | MS | -- |
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What is the unique 10-digit identification code issued to Upa Pllc Endocrinology by the Centers for Medicare & Medicaid Services?
The Upa Pllc Endocrinology has been assigned the NPI (National Provider Identifier) 1285787044 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Upa Pllc Endocrinology?
The Upa Pllc Endocrinology is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.
What is Upa Pllc Endocrinology's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Upa Pllc Endocrinology is Pediatric Endocrinology, and the taxonomy classification code that categorizes this area of expertise is 2080P0205X.
On what date was the 1285787044 assigned to Upa Pllc Endocrinology?
The Upa Pllc Endocrinology was issued its 1285787044 on 2007-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Upa Pllc Endocrinology's details last updated?
The information pertaining to the Upa Pllc Endocrinology, including its address, specialty, and other details, was most recently updated on 2020-08-22.