Elizabeth Tice is a Podiatrist in Jackson, Mississippi. Elizabeth Tice practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Elizabeth Tice is 1578665394. The last update date is 2018-02-26.
Elizabeth Tice's current location address is 1860 Chadwick Dr Ste 206, Jackson, Mississippi. You can contact this provider via phone number 6013762963 and fax number 6013762967. The mailing address for Elizabeth Tice is 1860 Chadwick Dr Ste 206, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elizabeth Tice |
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Address | 1860 Chadwick Dr Ste 206, Jackson, Mississippi |
Phone Number | 6013762963 |
Fax Number | 6013762967 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1578665394 |
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Provider Enumeration Date | 2006-09-02 |
Last Updated Date | 2018-02-26 |
Provider Mailing Address Detail
Address | 1860 Chadwick Dr Ste 206 |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392043466 |
Phone Number | 6013762963 |
Fax Number | 6013762967 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 80188 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique identifier code issued to Elizabeth Tice by the Centers for Medicare & Medicaid Services?
The Elizabeth Tice has been assigned the NPI (National Provider Identifier) 1578665394. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Elizabeth Tice?
The Elizabeth Tice is physically situated at 1860 Chadwick Dr Ste 206, in the city of Jackson, state of MS, with the postal code 392043466.
What is Elizabeth Tice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elizabeth Tice's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Elizabeth Tice receive the assignment of its 1578665394 from the Centers for Medicare & Medicaid Services?
The Elizabeth Tice was issued its 1578665394 by the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the details related to Elizabeth Tice most recently updated or revised?
The information pertaining to Elizabeth Tice, including its address, specialty, and other relevant details, was last updated or revised on 2018-02-26.