<Unavail>

LBN: Greater Jackson Obgyn Llc
<Unavail> is an health care organization with primary practice located at 501 Marshall St Ste 502 , Jackson MS 39202-1661. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Greater Jackson Obgyn Llc can be contacted via phone (769) 233-8585, or through Martin, Debra Amy via phone (769) 233-8585.

Contact Information

Primary practice address
501 Marshall St Ste 502 Jackson MS 39202-1661
Phone: (769) 233-8585
Fax: (601) 487-5156
Website:
Map and Directions
Authorized official contact:
Name: Martin, Debra Amy
Phone: (769) 233-8585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1154956134
LBN Legal business name Greater Jackson Obgyn Llc
DBA Doing business as <Unavail>
Authorized official Martin, Debra Amy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2020
Last updated Nov 23rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154956134 NPPES
Mississippi MEDICAID 00118723

Popular Providers