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Contact Information

CATHERINE JOHNSON MINCY, DDS
607 W CHURCH ST
BOONEVILLE, MS38829-2647
 Phone: 662-728-8133
 Fax: 662-728-6903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CATHERINE JOHNSON MINCY, DDS

NPI Number 1790801298
LBN Legal business name CATHERINE JOHNSON MINCY, DDS
Authorized official CATHERINE MINCY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS License # 3009-97
MS Medicaid 00660215
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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