Heath Broussard is a Surgery in Jackson, Tennessee. Heath Broussard practices all healthcare services and medical treatments related to Surgery. The NPI Number for Heath Broussard is 1801881958. The last update date is 2012-11-29.
Heath Broussard's current location address is Po Box 400, Jackson, Tennessee. You can contact this provider via phone number 7314238697 and fax number 7314225743. The mailing address for Heath Broussard is Po Box 400, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heath Broussard |
|---|---|
| Address | Po Box 400, Jackson, Tennessee |
| Phone Number | 7314238697 |
| Fax Number | 7314225743 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801881958 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2012-11-29 |
Provider Mailing Address Detail
| Address | Po Box 400 |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383020400 |
| Phone Number | 7314238697 |
| Fax Number | 7314225743 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 31232 |
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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 |
|---|---|---|---|
| 3832620 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Heath Broussard by the Centers for Medicare & Medicaid Services (CMS)?
The Heath Broussard has been assigned the NPI (National Provider Identifier) 1801881958. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Heath Broussard's facilities are situated?
The facilities of Heath Broussard are physically located at the following address: Po Box 400, Jackson, TN, 383020400.
What is Heath Broussard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Heath Broussard's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did the Heath Broussard receive its 1801881958?
The Heath Broussard was issued its 1801881958 on 2005-09-14, which is the date when the organization was assigned this unique identifier.
When was the Heath Broussard's information last updated?
The Heath Broussard's information was last updated on 2012-11-29.
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