Provider Demographics
NPI:1851646632
Name:MEEKS PEDIATRICS
Entity Type:Organization
Organization Name:MEEKS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-837-2143
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-0502
Mailing Address - Country:US
Mailing Address - Phone:662-837-2143
Mailing Address - Fax:662-873-2110
Practice Address - Street 1:118 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-1336
Practice Address - Country:US
Practice Address - Phone:662-993-9255
Practice Address - Fax:662-993-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty