NATCHEZ PEDIATRIC CLINIC PLLC; NPI #1033210315

Contact Information

NATCHEZ PEDIATRIC CLINIC PLLC

136 JEFFERSON DAVIS BLVD.
SUITE A
NATCHEZ, MS 39120

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

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NPI Profile & details for NATCHEZ PEDIATRIC CLINIC PLLC

NPI # 1033210315

LBN Legal business name NATCHEZ PEDIATRIC CLINIC PLLC

Authorized official JAMES MAYO - (BUSINESS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/26/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

LA	Medicaid	1445967
MS	Medicaid	09015226

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NATCHEZ PEDIATRIC CLINIC PLLC

Contact Information

Specialty

Adolescent Medicine

NPI Profile & details for NATCHEZ PEDIATRIC CLINIC PLLC

Reviews for NATCHEZ PEDIATRIC CLINIC PLLC