Jackson Surgical Group Pa

LBN: Jackson Surgical Group Pa
Jackson Surgical Group Pa is an health care organization with primary practice located at 1190 N State St Suite L01, Jackson MS 39202-2413. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jackson Surgical Group Pa can be contacted via phone (601) 292-4292, or through Parker, Austin Frederick via phone (601) 946-2200.

Contact Information

Primary practice address
1190 N State St Suite L01 Jackson MS 39202-2413
Phone: (601) 292-4292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Austin Frederick Doctor of Medicine (MD)
Phone: (601) 946-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 06450 Mississippi

Profile Details

NPI number 1861674723
LBN Legal business name Jackson Surgical Group Pa
DBA Doing business as
Authorized official Parker, Austin Frederick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Apr 25th, 2014 - 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 1861674723 NPPES
Mississippi MEDICAID 09013125

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