Brookhaven Surgery Clinic P.A. in Brookhaven - Surgery
Brookhaven Surgery Clinic P.A. - NPI 1760578736
Brookhaven Surgery Clinic P.A. is a Surgery in Brookhaven, Mississippi. Brookhaven Surgery Clinic P.A. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brookhaven Surgery Clinic P.A. is 1760578736. The last update date is 2008-05-20.
Brookhaven Surgery Clinic P.A.'s current location address is 1036 D A Biglane Dr, Brookhaven, Mississippi. You can contact this provider via phone number 6018351182 and fax number 6018351546. The mailing address for Brookhaven Surgery Clinic P.A. is 1036 D A Biglane Dr, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookhaven Surgery Clinic P.A. |
|---|---|
| Address | 1036 D A Biglane Dr, Brookhaven, Mississippi |
| Phone Number | 6018351182 |
| Fax Number | 6018351546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Carner Vance David |
| Credentials | M.D. |
| Telephone Number | 6018351182 |
NPI Number Detail
| NPI Number | 1760578736 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 1036 D A Biglane Dr |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012331 |
| Phone Number | 6018351182 |
| Fax Number | 6018351546 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9013622 | MS | -- | |
| CM2256 | MS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Brookhaven Surgery Clinic P.A.'s 1760578736?
The Brookhaven Surgery Clinic P.A.'s NPI (National Provider Identifier) Number is 1760578736. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brookhaven Surgery Clinic P.A. located?
The Brookhaven Surgery Clinic P.A. is located at 1036 D A Biglane Dr, Brookhaven, MS 396012331.
What is Brookhaven Surgery Clinic P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brookhaven Surgery Clinic P.A. is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did Brookhaven Surgery Clinic P.A. receive its 1760578736 assignment from the Centers for Medicare & Medicaid Services?
The Brookhaven Surgery Clinic P.A. was assigned its 1760578736 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brookhaven Surgery Clinic P.A.'s information last updated?
The Brookhaven Surgery Clinic P.A.'s information was last updated on 2008-05-20.