Virgil Isaac Aultman in Jackson - Adult Medicine
Virgil Isaac Aultman - NPI 1922006279
Virgil Isaac Aultman is a Adult Medicine in Jackson, Mississippi. Virgil Isaac Aultman practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Virgil Isaac Aultman is 1922006279. The last update date is 2010-03-15.
Virgil Isaac Aultman's current location address is 2747 Old Canton Rd, Jackson, Mississippi. You can contact this provider via phone number 6013666452 and fax number 6013666488. The mailing address for Virgil Isaac Aultman is 2747 Old Canton Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virgil Isaac Aultman |
|---|---|
| Address | 2747 Old Canton Rd, Jackson, Mississippi |
| Phone Number | 6013666452 |
| Fax Number | 6013666488 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922006279 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2010-03-15 |
Provider Mailing Address Detail
| Address | 2747 Old Canton Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164308 |
| Phone Number | 6013666452 |
| Fax Number | 6013666488 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 6153 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13576 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Virgil Isaac Aultman by the Centers for Medicare & Medicaid Services?
The Virgil Isaac Aultman has been assigned the NPI (National Provider Identifier) 1922006279 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Virgil Isaac Aultman located?
The Virgil Isaac Aultman is located at 2747 Old Canton Rd, Jackson, MS 392164308.
What is Virgil Isaac Aultman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Virgil Isaac Aultman is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.
When did Virgil Isaac Aultman receive its 1922006279 assignment?
The Virgil Isaac Aultman was assigned its 1922006279 on 2005-07-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Virgil Isaac Aultman last refreshed?
The information related to the Virgil Isaac Aultman, including its address, specialty, and other relevant details, was last updated on 2010-03-15.