Stephanie Gorrell in Jackson - Sports Medicine
Stephanie Gorrell - NPI 1992725444
Stephanie Gorrell is a Sports Medicine in Jackson, Mississippi. Stephanie Gorrell practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephanie Gorrell is 1992725444. The last update date is 2007-07-08.
Stephanie Gorrell's current location address is 1325 E Fortification St, Jackson, Mississippi. You can contact this provider via phone number 6019499110. The mailing address for Stephanie Gorrell is 1325 E Fortification St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Gorrell |
|---|---|
| Address | 1325 E Fortification St, Jackson, Mississippi |
| Phone Number | 6019499110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1992725444 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1325 E Fortification St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392022442 |
| Phone Number | 6019499110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | PT3169 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7071069 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephanie Gorrell?
The Stephanie Gorrell has been issued the NPI (National Provider Identifier) 1992725444 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stephanie Gorrell's physical address?
The Stephanie Gorrell is physically located at 1325 E Fortification St, in the city of Jackson, MS, with the postal code 392022442.
What is Stephanie Gorrell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephanie Gorrell is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 2081S0010X.
When did the Stephanie Gorrell receive its 1992725444?
The Stephanie Gorrell was issued its 1992725444 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Stephanie Gorrell's details last updated?
The information pertaining to the Stephanie Gorrell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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