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CAPITAL CITY ENDOCRINE CLINIC LLC NPI 1255084398


NPI Information

NPI: 1255084398
Provider Name: CAPITAL CITY ENDOCRINE CLINIC LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 25D2276233

Address:
4755 I 55 N
JACKSON, MS
ZIP 39206
Phone: (601) 895-0000
Get Directions

CAPITAL CITY ENDOCRINE CLINIC LLC is an endocrinology and diabetes and metabolism internal medicine in Jackson, MS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. CAPITAL CITY ENDOCRINE CLINIC LLC NPI is 1255084398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4755 I 55 N
JACKSON, MS
ZIP 39206-602
Phone: (601) 895-0000
Fax: (601) 895-0001

The provider's authorized official is Juliette Sandifer Kum-nji .
The authorized official title is Owner and has the following contact phone number (601) 895-0000.

The CLIA number assigned to this NPI record is 25D2276233 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2022 and was last updated on 6/8/2023.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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