General Vascular Surgery Specialist P A in Mccomb - Surgery
General Vascular Surgery Specialist P A - NPI 1376647453
General Vascular Surgery Specialist P A is a Surgery in Mccomb, Mississippi. General Vascular Surgery Specialist P A practices all healthcare services and medical treatments related to Surgery. The NPI Number for General Vascular Surgery Specialist P A is 1376647453. The last update date is 2014-01-13.
General Vascular Surgery Specialist P A's current location address is 1311 Aston Ave, Mccomb, Mississippi. You can contact this provider via phone number 6016842481 and fax number 6016842488. The mailing address for General Vascular Surgery Specialist P A is 1311 Aston Ave, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | General Vascular Surgery Specialist P A |
|---|---|
| Address | 1311 Aston Ave, Mccomb, Mississippi |
| Phone Number | 6016842481 |
| Fax Number | 6016842488 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Williams Charles Steven |
| Credentials | MD |
| Telephone Number | 6016842481 |
NPI Number Detail
| NPI Number | 1376647453 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2014-01-13 |
Provider Mailing Address Detail
| Address | 1311 Aston Ave |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396482825 |
| Phone Number | 6016842481 |
| Fax Number | 6016842488 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 9423 |
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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 |
|---|---|---|---|
| 1317934 | LA | LOUISIANA MEDICAID | |
| 770000345 | MS | RAILROAD MEDICARE | |
| 55406 | MS | MISSISSIPPI SELECT | |
| 1730019 | MS | UNITED HEALTHCARE | |
| 200000153 | MS | INDIVIDUAL MEDICARE PTAN | |
| 412909978A | MS | BLUECROSS BLUESHIELD | |
| 115579 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to General Vascular Surgery Specialist P A by the Centers for Medicare & Medicaid Services?
The General Vascular Surgery Specialist P A has been issued the NPI (National Provider Identifier) 1376647453 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where General Vascular Surgery Specialist P A is geographically located?
The General Vascular Surgery Specialist P A is physically situated at the following location: 1311 Aston Ave, Mccomb, MS, 396482825.
What is General Vascular Surgery Specialist P A's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The General Vascular Surgery Specialist P A's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did General Vascular Surgery Specialist P A receive its 1376647453 assignment?
The General Vascular Surgery Specialist P A was assigned its 1376647453 on 2006-09-11, which is the date when this unique identifier was issued to the organization.
When was the General Vascular Surgery Specialist P A's information last updated?
The General Vascular Surgery Specialist P A's information was last updated on 2014-01-13.