Upa Pllc Div Of Pulmonary in Jackson - Pediatric Pulmonology
Upa Pllc Div Of Pulmonary - NPI 1427101294
Upa Pllc Div Of Pulmonary is a Pediatric Pulmonology in Jackson, Mississippi. Upa Pllc Div Of Pulmonary practices all healthcare services and medical treatments related to Pediatric Pulmonology. The NPI Number for Upa Pllc Div Of Pulmonary is 1427101294. The last update date is 2020-08-22.
Upa Pllc Div Of Pulmonary's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018158989. The mailing address for Upa Pllc Div Of Pulmonary is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Div Of Pulmonary |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018158989 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1427101294 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018158989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Pulmonology |
|---|---|
| Taxonomy | 2080P0214X |
|
Definition: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014112 | MS | -- |
Post Comment/ Review Below
What is the Upa Pllc Div Of Pulmonary's 1427101294?
The Upa Pllc Div Of Pulmonary's NPI (National Provider Identifier) Number is 1427101294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Upa Pllc Div Of Pulmonary's facilities are situated?
The facilities of Upa Pllc Div Of Pulmonary are physically located at the following address: 2500 N State St, Jackson, MS, 392164500.
What is the Upa Pllc Div Of Pulmonary's specialty and taxonomy code?
The Upa Pllc Div Of Pulmonary's specialty is Pediatric Pulmonology, and the corresponding taxonomy code is 2080P0214X.
On what date did the Upa Pllc Div Of Pulmonary receive the assignment of its 1427101294 from the Centers for Medicare & Medicaid Services?
The Upa Pllc Div Of Pulmonary was issued its 1427101294 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the Upa Pllc Div Of Pulmonary's details last updated?
The information pertaining to the Upa Pllc Div Of Pulmonary, including its address, specialty, and other details, was most recently updated on 2020-08-22.