East Lakeland Ob Gyn Associates, P.A.

LBN: East Lakeland Ob Gyn Associates, P.A.
East Lakeland Ob Gyn Associates, P.A. is an health care organization with primary practice located at 1020 River Oaks Dr Suite 320, Jackson MS 39232-9500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. East Lakeland Ob Gyn Associates, P.A. can be contacted via phone (601) 936-1400, or through Mcmillan, Beverly Ann via phone (601) 936-1400.

Contact Information

Primary practice address
1020 River Oaks Dr Suite 320 Jackson MS 39232-9500
Phone: (601) 936-1400
Fax: (601) 936-0671
Website:
Map and Directions
Authorized official contact:
Name: Mcmillan, Beverly Ann Doctor of Medicine (MD)
Phone: (601) 936-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1235220112
LBN Legal business name East Lakeland Ob Gyn Associates, P.A.
DBA Doing business as
Authorized official Mcmillan, Beverly Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated May 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235220112 NPPES
Mississippi MEDICAID 9013604

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