Natchez Pediatric Clinic Pllc

LBN: Natchez Pediatric Clinic Pllc
Natchez Pediatric Clinic Pllc is an health care organization with primary practice located at 136 Jefferson Davis Blvd. Suite A, Natchez MS 39120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Natchez Pediatric Clinic Pllc can be contacted via phone (601) 442-5439, or through Mayo, James M via phone (601) 442-5439.

Contact Information

Primary practice address
136 Jefferson Davis Blvd. Suite A Natchez MS 39120
Fax: (601) 442-3755
Website:
Authorized official contact:
Name: Mayo, James M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1033210315
LBN Legal business name Natchez Pediatric Clinic Pllc
DBA Doing business as
Authorized official Mayo, James M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033210315 NPPES
Mississippi MEDICAID 09015226
Mississippi MEDICAID 1445967

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