Childrens Clinic Of Clarksdale Pa

Pediatrics

Childrens Clinic Of Clarksdale Pa is a Clarksdale, Mississippi based Pediatric center with medical specialization in General Pediatrics. It is located at 2245 N State Street, Clarksdale, Mississippi - 38614. They can be contacted on phone at 662-627-4131 and fax number 662-627-2702.
NPI number (Unique professional ID) for Childrens Clinic Of Clarksdale Pa is 1497834030 which was assigned by NPPES on 03 Nov, 2006 and it was last updated on 22 Aug, 2020. Childrens Clinic Of Clarksdale Pa license number is R861078 for Pediatrics (208000000X) in Mississippi.
Childrens Clinic Of Clarksdale Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Childrens Clinic Of Clarksdale Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Childrens Clinic Of Clarksdale Pa
Business Address:
Childrens Clinic Of Clarksdale Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :2245 N State Street
Clarksdale, MS, 38614
United States
Phone Number :662-627-4131
Fax Number :662-627-2702
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1497834030
NPI Entity Type : Organization
First Enrolment Date : 03 Nov, 2006
Last Updated On : 22 Aug, 2020
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Carolel Mangrem
Authorized Official Credential :MD
Official Title or Position :PARTNER
Phone Number :662-627-4131
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Clinic Of Clarksdale Pa are as mentioned. Primary taxonomy code for Childrens Clinic Of Clarksdale Pa is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo07191MS
208000000XPediatricsNo07070MS
208000000XPediatricsYesR861078MS
Legacy Identifiers:
Other legacy medical identifiers of Childrens Clinic Of Clarksdale Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
09013997MEDICAIDMS
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 1447
Clarksdale, MS, 38614
United States
Phone Number :662-627-4131
Fax Number :662-627-2702
Business Location:
Patients can refer following map for directions to Childrens Clinic Of Clarksdale Pa practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.