National Provider Identifier Database

NATCHEZ PEDIATRIC CLINIC PLLC
Adolescent Medicine

A pediatrician who 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.


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
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for NATCHEZ PEDIATRIC CLINIC PLLC

NPI Number 1033210315
Legal business name
LBN
NATCHEZ PEDIATRIC CLINIC PLLC
Authorized official JAMES MAYO - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1445967
  • MS Medicaid: 09015226

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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