Jackson Orthopaedic Clinic, Pa

LBN: Jackson Orthopaedic Clinic, Pa
Jackson Orthopaedic Clinic, Pa is an health care organization with primary practice located at 971 Lakeland Dr Suite 950, Jackson MS 39216-4643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Jackson Orthopaedic Clinic, Pa can be contacted via phone (601) 981-7212, or through Gandy, David J via phone (601) 981-7212.

Contact Information

Primary practice address
971 Lakeland Dr Suite 950 Jackson MS 39216-4643
Phone: (601) 981-7212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gandy, David J Doctor of Medicine (MD)
Phone: (601) 981-7212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 07306 Mississippi

Profile Details

NPI number 1215084967
LBN Legal business name Jackson Orthopaedic Clinic, Pa
DBA Doing business as
Authorized official Gandy, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 8th, 2013 - about 11 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 1215084967 NPPES
Mississippi MEDICAID 00280226

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