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NPI Code Detail

MEDICARE: CAS E HEATH III M.D.

MEDICARE: CAS E HEATH III M.D.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician14958MS
2207P00000XEmergency Medicine Physician14958MS

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 : 1467493247
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAS E HEATH III M.D.
Provider Business Mailing Address
First Line : PO BOX 16076
Second Line :
City : JACKSON
State : MS
Zip : 39236-6076
Country : US
Telephone Number : 601-982-6001
Fax Number : 601-982-8616
Provider Business Practice Location Address
First Line : 1225 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2064
Country : US
Telephone Number : 601-982-6001
Fax Number : 601-982-8616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 05/07/2025

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Directions to “ CAS E HEATH III M.D.” Practice Location

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