MINOR MED CARE P.A. NPI 1407968738

NPI Information

NPI: 1407968738
Provider Name: MINOR MED CARE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2860 MCDOWELL ROAD EXT
JACKSON, MS
ZIP 39204
Phone: (601) 372-1117
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MINOR MED CARE, P.A. is a primary care clinic center in Jackson, MS. MINOR MED CARE, P.A. NPI is 1407968738. The provider is registered as an organization entity type.

The provider's business location address is:

2860 MCDOWELL ROAD EXT
JACKSON, MS
ZIP 39204-238
Phone: (601) 372-1117
Fax: (601) 373-3004

The provider's authorized official is Timothy Duncan Estes .
The authorized official title is President and has the following contact phone number (601) 372-1117.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	09740	MISSISSIPPI	Yes

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: 5/5/2024

NPI Synchronization or Removal

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