Edward Paul Landry Jr.
Pediatric Emergency Medicine | Male
Edward Paul Landry Jr. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Edward Paul Landry Jr. is
2500 N State St, Jackson, Mississippi - 39216-4500. He can be contacted on phone at
601-984-5200.
Edward Paul Landry Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Edward Paul Landry Jr. is
1780078253 which was assigned by NPPES on 23 Mar, 2015 and it was last updated on 01 Jun, 2022.
Edward Paul Landry Jr. license number is
25979 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Mississippi.
Edward Paul Landry Jr. has special qualifications to manage emergencies in infants and children.
Complete Profile:
Edward Paul Landry Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Edward Paul Landry Jr. |
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| Gender : | Male |
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Business Address:
Edward Paul Landry Jr. 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 : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-5200 |
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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 : | 1780078253 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2015 |
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| Last Updated On : | 01 Jun, 2022 |
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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 Edward Paul Landry Jr. are as mentioned. Primary taxonomy code for Edward Paul Landry Jr. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 25979 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Edward Paul Landry Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02078311 | MEDICAID | MS | |
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 : | 504 Clinton Center Drive, Cbo - Suite 4300
Clinton, MS, 39056-5610
United States |
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Business Location:
Patients can refer following map for directions to
Edward Paul Landry Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.