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P & S CLINIC OB-GYN PLLC NPI 1538215546


NPI Information

NPI: 1538215546
Provider Name: P & S CLINIC OB-GYN PLLC

Other Name: PHYSICIANS & SURGEONS CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 25D0948828

Address:
900 EARL FRYE BLVD
SUITE A
AMORY, MS
ZIP 38821
Phone: (662) 256-9331
Get Directions

P & S CLINIC OB-GYN PLLC is an obstetrics gynecology in Amory, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. P & S CLINIC OB-GYN PLLC NPI is 1538215546. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Physicians & Surgeons Clinic.

The provider's business location address is:

900 EARL FRYE BLVD
SUITE A
AMORY, MS
ZIP 38821-507
Phone: (662) 256-9331
Fax: (662) 256-9335

The provider's authorized official is Michelle Sagely .
The authorized official title is Provider Enrollment and has the following contact phone number (662) 256-9331.

The CLIA number assigned to this NPI record is 25D0948828 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/25/2007 and was last updated on 2/21/2020.


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
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyYes
3208000000XPediatricsNo

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
106924896MEDICAIDMISSISSIPPI

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: 11/14/2023

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