East Endocrine And Metabolism Pllc | |
1551 E County Line Rd Jackson MS 39211-1801 | |
(601) 790-1233 | |
(601) 397-6492 |
Full Name | East Endocrine And Metabolism Pllc |
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Speciality | Clinic/Center |
Location | 1551 E County Line Rd, Jackson, Mississippi |
Authorized Official Name and Position | Honey East (OWNER / MD) |
Authorized Official Contact | 6017901233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Endocrine And Metabolism Pllc 1551 E County Line Rd Jackson MS 39211-1801 Ph: (601) 790-1233 | East Endocrine And Metabolism Pllc 1551 E County Line Rd Jackson MS 39211-1801 Ph: (601) 790-1233 |
NPI Number | 1093286544 |
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Provider Enumeration Date | 12/10/2018 |
Last Update Date | 04/11/2023 |
Medicare PECOS PAC ID | 5890031827 |
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Medicare Enrollment ID | O20190114000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093286544 | NPI | - | NPPES |
00121948 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Honey East |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1932132495 PECOS PAC ID: 2668469537 Enrollment ID: I20040430000778 |
Provider Name | Jo Anna M Warren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730196353 PECOS PAC ID: 2264659390 Enrollment ID: I20140813000168 |
Provider Name | Christy L Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063662419 PECOS PAC ID: 5294036760 Enrollment ID: I20151229001551 |
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