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Contact Information

NATCHEZ PEDIATRIC CLINIC PLLC
136 JEFFERSON DAVIS BLVD.
SUITE A
NATCHEZ, MS39120
 Phone: 601-442-5439
 Fax: 601-442-3755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NATCHEZ PEDIATRIC CLINIC PLLC · (Female)

NPI Number 1033210315
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1445967
  • MS Medicaid 09015226
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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