Organization · Type 2 NPI
Mississippi Center for Advanced Medicine, PC
Specialist · Slidell, LA
NPI number
1508426917
Active
Practice location
2053 Gause Blvd E Ste 200
Slidell, LA 70461-5451
Fax (601) 499-0936
Mailing address
7731 Old Canton Rd Ste B
Madison, MS 39110-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1508426917
Mississippi Center for Advanced Medicine, PC's National Provider Identifier is 1508426917, issued on Jun 18, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Slidell, LA. The record was last updated on Jun 18, 2019.