William Tew is a Diagnostic Radiology in Jackson, Mississippi. William Tew practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for William Tew is 1609803139. The last update date is 2017-02-10.
William Tew's current location address is 969 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 8774062916 and fax number 6016827909. The mailing address for William Tew is 969 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Tew |
|---|---|
| Address | 969 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 8774062916 |
| Fax Number | 6016827909 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609803139 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 969 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 3921646060 |
| Phone Number | 8774062916 |
| Fax Number | 6016827909 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 10027 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14390 | MS | -- |
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What is the unique 10-digit identifier code assigned to William Tew by the Centers for Medicare & Medicaid Services?
The William Tew has been issued the NPI (National Provider Identifier) 1609803139 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of William Tew?
The William Tew is physically situated at 969 Lakeland Dr, in the city of Jackson, state of MS, with the postal code 3921646060.
What is the William Tew's specialty and taxonomy code?
The William Tew's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the William Tew receive its 1609803139 assignment from the Centers for Medicare & Medicaid Services?
The William Tew was assigned its 1609803139 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information pertaining to William Tew most recently updated or revised?
The details related to William Tew, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-10.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY