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NPI Code Detail

MEDICARE: DR. MICHAEL C HEBERT MD

MEDICARE: DR. MICHAEL C HEBERT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician19228MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881643369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL C HEBERT MD
Provider Business Mailing Address
First Line : 1151 N STATE ST
Second Line : SUITE 504
City : JACKSON
State : MS
Zip : 39202-2407
Country : US
Telephone Number : 601-292-4261
Fax Number : 601-292-4262
Provider Business Practice Location Address
First Line : 1225 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2064
Country : US
Telephone Number : 601-292-4261
Fax Number : 601-292-4262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/15/2010

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Directions to “ DR. MICHAEL C HEBERT MD” Practice Location

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