The Pedz Clinic

LBN: The Pedz Clinic
The Pedz Clinic is an health care organization with primary practice located at 610 3Rd St Sw , Magee MS 39111-3994. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. The Pedz Clinic can be contacted via phone (601) 439-7221, or through Fewell, Kelli via phone (601) 439-7221.

Contact Information

Primary practice address
610 3Rd St Sw Magee MS 39111-3994
Phone: (601) 439-7221
Fax: (601) 439-7193
Website:
Map and Directions
Authorized official contact:
Name: Fewell, Kelli PNP-PC
Phone: (601) 439-7221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R879688 Mississippi

Profile Details

NPI number 1538675798
LBN Legal business name The Pedz Clinic
DBA Doing business as
Authorized official Fewell, Kelli PNP-PC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2017
Last updated Aug 7th, 2019 - about 7 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 1538675798 NPPES
Mississippi MEDICAID 04038362
Mississippi MEDICAID 1154684363

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