Blossom, Amy Paxton
Blossom, Amy Paxton is an individual health care provider with primary practice located at 117 Fairfield Dr , New Albany MS 38652-3107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blossom, Amy Paxton can be contacted via phone (662) 534-0029.Contact Information
Primary practice address
117 Fairfield Dr
New Albany MS 38652-3107
Phone: (662) 534-0029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20261 | Mississippi |
Profile Details
| NPI number | 1518115971 |
|---|---|
| LBN Legal business name | Blossom, Amy Paxton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Mar 8th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518115971 | NPPES |
| Mississippi | MEDICAID | 01186021 |
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