Mississippi Retina Associates,Pllc
LBN: Mississippi Retina Associates,Pllc
Mississippi Retina Associates,Pllc is an health care organization with primary practice located at 1200 N State St Suite 300, Jackson MS 39202-2001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Mississippi Retina Associates,Pllc can be contacted via phone (601) 981-4091, or through Borne, Michael J via phone (601) 981-4091.
Contact Information
Primary practice address
1200 N State St Suite 300
Jackson MS 39202-2001
Phone: (601) 981-4091
Fax: (601) 981-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Mississippi | |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1740357334 |
|---|---|
| LBN Legal business name | Mississippi Retina Associates,Pllc |
| DBA Doing business as | |
| Authorized official | Borne, Michael J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 30th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740357334 | NPPES |
| Mississippi | MEDICAID | 09014141 | |
| Mississippi | Other | CA5305 |
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