Jacksonville Children'S And Multispecialty Clinic, Pa in Jacksonville - Neurodevelopmental Disabilities
Jacksonville Children'S And Multispecialty Clinic, Pa - NPI 1164519070
Jacksonville Children'S And Multispecialty Clinic, Pa is a Neurodevelopmental Disabilities in Jacksonville, North Carolina. Jacksonville Children'S And Multispecialty Clinic, Pa practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Jacksonville Children'S And Multispecialty Clinic, Pa is 1164519070. The last update date is 2023-11-21.
Jacksonville Children'S And Multispecialty Clinic, Pa's current location address is 118 Memorial Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103530581 and fax number 9103531351. The mailing address for Jacksonville Children'S And Multispecialty Clinic, Pa is 118 Memorial Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Children'S And Multispecialty Clinic, Pa |
|---|---|
| Address | 118 Memorial Dr, Jacksonville, North Carolina |
| Phone Number | 9103530581 |
| Fax Number | 9103531351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mittal Madhur |
| Credentials | MD |
| Telephone Number | 9103530581 |
NPI Number Detail
| NPI Number | 1164519070 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-11-21 |
Provider Mailing Address Detail
| Address | 118 Memorial Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466328 |
| Phone Number | 9103530581 |
| Fax Number | 9103531351 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
|
Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164519070 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacksonville Children'S And Multispecialty Clinic, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Jacksonville Children'S And Multispecialty Clinic, Pa has been assigned the NPI (National Provider Identifier) 1164519070. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jacksonville Children'S And Multispecialty Clinic, Pa's facilities are situated?
The facilities of Jacksonville Children'S And Multispecialty Clinic, Pa are physically located at the following address: 118 Memorial Dr, Jacksonville, NC, 285466328.
What is the Jacksonville Children'S And Multispecialty Clinic, Pa's specialty and taxonomy code?
The Jacksonville Children'S And Multispecialty Clinic, Pa's specialty is Neurodevelopmental Disabilities, and the corresponding taxonomy code is 2080P0008X.
On what date did the Jacksonville Children'S And Multispecialty Clinic, Pa receive the assignment of its 1164519070 from the Centers for Medicare & Medicaid Services?
The Jacksonville Children'S And Multispecialty Clinic, Pa was issued its 1164519070 by the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information related to Jacksonville Children'S And Multispecialty Clinic, Pa most recently updated or refreshed?
The details pertaining to the Jacksonville Children'S And Multispecialty Clinic, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-21.