Michael Gordon Holder in Jackson - Pediatric Emergency Medicine
Michael Gordon Holder - NPI 1821016031
Michael Gordon Holder is a Pediatric Emergency Medicine in Jackson, Mississippi. Michael Gordon Holder practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Michael Gordon Holder is 1821016031. The last update date is 2018-03-22.
Michael Gordon Holder's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842195. The mailing address for Michael Gordon Holder is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Gordon Holder |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019842195 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1821016031 |
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Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2018-03-22 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019842195 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Emergency Medicine |
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Taxonomy | 2080P0204X |
Licence No | 35-085978 |
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 |
---|---|---|---|
4179262 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Gordon Holder by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Gordon Holder has been assigned the NPI (National Provider Identifier) 1821016031. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michael Gordon Holder's physical address?
The Michael Gordon Holder is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is Michael Gordon Holder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Gordon Holder is Pediatric Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821016031 to Michael Gordon Holder?
The Centers for Medicare & Medicaid Services assigned the 1821016031 to Michael Gordon Holder on 2006-07-17.
When was the Michael Gordon Holder's information last updated?
The Michael Gordon Holder's information was last updated on 2018-03-22.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH