Natchez Pediatric Clinic Pllc
Pediatric Adolescent Medicine
Natchez Pediatric Clinic Pllc is a Natchez, Mississippi based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
136 Jefferson Davis Blvd., Suite A, Natchez, Mississippi - 39120. They can be contacted on phone at
601-442-5439 and fax number 601-442-3755.
NPI number (Unique professional ID) for Natchez Pediatric Clinic Pllc is
1033210315 which was assigned by NPPES on 26 Sep, 2006 and it was last updated on 22 Aug, 2020.
Natchez Pediatric Clinic Pllc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Natchez Pediatric Clinic Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Natchez Pediatric Clinic Pllc |
|---|
Business Address:
Natchez Pediatric Clinic Pllc 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 : | 136 Jefferson Davis Blvd., Suite A
Natchez, MS, 39120
United States |
|---|
| Phone Number : | 601-442-5439 |
|---|
| Fax Number : | 601-442-3755 |
|---|
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 : | 1033210315 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 26 Sep, 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 : | Jamesm Mayo |
|---|
| Official Title or Position : | BUSINESS MANAGER |
|---|
| Phone Number : | 601-442-5439 |
|---|
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 Natchez Pediatric Clinic Pllc are as mentioned. Primary taxonomy code for Natchez Pediatric Clinic Pllc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Natchez Pediatric Clinic Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09015226 | MEDICAID | MS | |
| 1445967 | MEDICAID | LA | |
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 17918
Natchez, MS, 39122-7918
United States |
|---|
| Phone Number : | 601-442-5439 |
|---|
| Fax Number : | 601-442-3755 |
|---|
Business Location:
Patients can refer following map for directions to
Natchez Pediatric Clinic Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.