| Pediatric & Adolescent Clinic | |
|
308 Highland Blvd Natchez MS 39120-4611 | |
| (601) 442-7676 | |
| (601) 442-9590 |
| Full Name | Pediatric & Adolescent Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 308 Highland Blvd, Natchez, Mississippi |
| Authorized Official Name and Position | David Alan Timm (OWNER) |
| Authorized Official Contact | 6014427676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & Adolescent Clinic 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 | Pediatric & Adolescent Clinic 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 |
| NPI Number | 1174608020 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174608020 | NPI | - | NPPES |
| 09015251 | Medicaid | MS | |
| 1446009 | Medicaid | LA |
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