Bonnie N. Woodall in Jackson - Pediatric Emergency Medicine
Bonnie N. Woodall - NPI 1134155971
Bonnie N. Woodall is a Pediatric Emergency Medicine in Jackson, Mississippi. Bonnie N. Woodall practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Bonnie N. Woodall is 1134155971. The last update date is 2016-08-15.
Bonnie N. Woodall's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842195 and fax number 6018151050. The mailing address for Bonnie N. Woodall is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie N. Woodall |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019842195 |
| Fax Number | 6018151050 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134155971 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2016-08-15 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019842195 |
| Fax Number | 6018151050 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 11066 |
|
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 |
|---|---|---|---|
| 10725 | MS | -- | |
| 1656631 | LA | -- |
Post Comment/ Review Below
What is the Bonnie N. Woodall's 1134155971?
The Bonnie N. Woodall's NPI (National Provider Identifier) Number is 1134155971. 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 address where Bonnie N. Woodall is geographically located?
The Bonnie N. Woodall is physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is the Bonnie N. Woodall's specialty and taxonomy code?
The Bonnie N. Woodall's specialty is Pediatric Emergency Medicine, and the corresponding taxonomy code is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134155971 to Bonnie N. Woodall?
The Bonnie N. Woodall received its 1134155971 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information related to Bonnie N. Woodall most recently updated or refreshed?
The details pertaining to the Bonnie N. Woodall, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-15.