Organization
COLUMBUS CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SYKES M.D. (PRESIDENT)
(662) 327-8410
Entity
Organization
Contact information
Practice address
2402 5TH ST N, COLUMBUS, MS 39705-2000
(662) 327-8410
(662) 327-9749
Mailing address
2402 5TH ST N, COLUMBUS, MS 39705-2000
(662) 327-8410
(662) 327-9749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13916
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015096
—
MS
Enumeration date
10/04/2006
Last updated
08/22/2020
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