Upa Pllc Child Dev Clinic
Developmental - Behavioral Pediatrics
Upa Pllc Child Dev Clinic is a Jackson, Mississippi based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics.
It is located at
2500 N State St, Jackson, Mississippi - 39216-4500. They can be contacted on phone at
601-984-5274.
NPI number (Unique professional ID) for Upa Pllc Child Dev Clinic is
1841343605 which was assigned by NPPES on 18 Jan, 2007 and it was last updated on 24 Jun, 2008.
Upa Pllc Child Dev Clinic is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Upa Pllc Child Dev Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Upa Pllc Child Dev Clinic |
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Business Address:
Upa Pllc Child Dev Clinic 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 : | 601-984-5274 |
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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 : | 1841343605 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Jan, 2007 |
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| Last Updated On : | 24 Jun, 2008 |
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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 : | Owenb Evans |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MANAGER |
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| Phone Number : | 601-984-5214 |
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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 Upa Pllc Child Dev Clinic are as mentioned. Primary taxonomy code for Upa Pllc Child Dev Clinic is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Upa Pllc Child Dev Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09014110 | 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 : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-5274 |
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Business Location:
Patients can refer following map for directions to
Upa Pllc Child Dev Clinic 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.