| Pediatric & Adolescent Clinic Llc | |
|
107 N Martin Luther King Jr St Natchez MS 39120-3356 | |
| (601) 442-7676 | |
| (601) 442-9590 |
| Full Name | Pediatric & Adolescent Clinic Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 107 N Martin Luther King Jr St, Natchez, Mississippi |
| Authorized Official Name and Position | David A Timm (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6014427676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & Adolescent Clinic Llc 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 | Pediatric & Adolescent Clinic Llc 107 N Martin Luther King Jr St Natchez MS 39120-3356 Ph: (601) 442-7676 |
| NPI Number | 1952163206 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 5890238091 |
|---|---|
| Medicare Enrollment ID | O20240617000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952163206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Us Star Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 East Woodlawn Avenue, Natchez, MS 39120 Phone: 601-304-2043 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Homochitto St, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Highway 61 N, Natchez, MS 39120 Phone: 601-861-1631 | |
Natchez Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Sgt Prentiss Dr, Suite 202, Natchez, MS 39120 Phone: 601-443-2100 Fax: 601-443-2885 | |
Anthony L Buckles Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Northgate Rd Ste D, Natchez, MS 39120 Phone: 708-595-3660 | |
Leslie E England Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Jefferson Davis Blvd Ste C, Natchez, MS 39120 Phone: 601-442-9802 Fax: 601-442-5802 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 |