Lighthouse Pediatric & After Hours Clinic, Pa
Pediatrics
Lighthouse Pediatric & After Hours Clinic, Pa is a Clinton, Mississippi based Pediatric center with medical specialization in
General Pediatrics.
It is located at
501 Springridge Rd, Clinton, Mississippi - 39056-5633. They can be contacted on phone at
601-488-4171 and fax number 601-488-4175.
NPI number (Unique professional ID) for Lighthouse Pediatric & After Hours Clinic, Pa is
1881945475 which was assigned by NPPES on 24 Sep, 2012 and it was last updated on 24 Sep, 2012.
Lighthouse Pediatric & After Hours Clinic, Pa license number is
16949 for Pediatrics (208000000X) in Mississippi.
Lighthouse Pediatric & After Hours Clinic, 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:
Lighthouse Pediatric & After Hours Clinic, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lighthouse Pediatric & After Hours Clinic, Pa |
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Business Address:
Lighthouse Pediatric & After Hours Clinic, 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 : | 501 Springridge Rd
Clinton, MS, 39056-5633
United States |
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| Phone Number : | 601-488-4171 |
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| Fax Number : | 601-488-4175 |
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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 : | 1881945475 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Sep, 2012 |
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| Last Updated On : | 24 Sep, 2012 |
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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 : | Tammylashelle Sims |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO |
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| Phone Number : | 601-488-4171 |
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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 Lighthouse Pediatric & After Hours Clinic, Pa are as mentioned. Primary taxonomy code for Lighthouse Pediatric & After Hours Clinic, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 16949 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Lighthouse Pediatric & After Hours Clinic, Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 04583552 | 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 : | 501 Springridge Rd
Clinton, MS, 39056-5633
United States |
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| Phone Number : | 601-488-4171 |
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| Fax Number : | 601-488-4175 |
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Business Location:
Patients can refer following map for directions to
Lighthouse Pediatric & After Hours Clinic, 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.