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PEDIATRIC & ADOLESCENT CLINIC LLC NPI 1952163206


NPI Information

NPI: 1952163206
Provider Name: PEDIATRIC & ADOLESCENT CLINIC LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
107 N MARTIN LUTHER KING JR ST
NATCHEZ, MS
ZIP 39120
Phone: (601) 442-7676
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PEDIATRIC & ADOLESCENT CLINIC LLC is a pediatrics in Natchez, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC & ADOLESCENT CLINIC LLC NPI is 1952163206. The provider is registered as an organization entity type.

The provider's business location address is:

107 N MARTIN LUTHER KING JR ST
NATCHEZ, MS
ZIP 39120-356
Phone: (601) 442-7676
Fax: (601) 442-9590

The provider's authorized official is David A Timm .
The authorized official title is Medical Director and has the following contact phone number (601) 442-7676.

The enumeration date for this NPI number is 1/23/2024 and was last updated on 1/24/2024.


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
1261QR1300XClinic/CenterRural HealthNo
2208000000XPediatricsYes

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

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