Elizabeth Tice in Jackson - Podiatrist

Elizabeth Tice - NPI 1578665394

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
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
Provider Enumeration Date 2006-09-02
Last Updated Date 2018-02-26

Provider Mailing Address Detail

Address 1860 Chadwick Dr Ste 206
City Jackson
State Mississippi (MS)
Post Code 392043466
Phone Number 6013762963
Fax Number 6013762967

Provider's Primary Taxonomy Detail

Speciality Podiatrist
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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FAQs about Elizabeth Tice

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.

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