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CENTER OF INFECTIOUS DISEASE EXCELLENCE NPI 1235329020


NPI Information

NPI: 1235329020
Provider Name: CENTER OF INFECTIOUS DISEASE EXCELLENCE
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
1040 RIVER OAKS DR
SUITE 303
JACKSON, MS
ZIP 39232
Phone: (601) 936-0706
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CENTER OF INFECTIOUS DISEASE EXCELLENCE is an infectious disease internal medicine in Jackson, MS. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. CENTER OF INFECTIOUS DISEASE EXCELLENCE NPI is 1235329020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1040 RIVER OAKS DR
SUITE 303
JACKSON, MS
ZIP 39232-530
Phone: (601) 936-0706
Fax: (601) 936-6150

The provider's authorized official is Brad Sinclair .
The authorized official title is Regional Manager and has the following contact phone number (601) 936-3102.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02454MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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