Jackson Oncology Associates, Pllc in Vicksburg - Hematology & Oncology
Jackson Oncology Associates, Pllc - NPI 1023147204
Jackson Oncology Associates, Pllc is a Hematology & Oncology in Vicksburg, Mississippi. Jackson Oncology Associates, Pllc practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Jackson Oncology Associates, Pllc is 1023147204. The last update date is 2021-11-09.
Jackson Oncology Associates, Pllc's current location address is 2200 Highway 61 N Ste 3300, Vicksburg, Mississippi. You can contact this provider via phone number 6016383447 and fax number 6016309227. The mailing address for Jackson Oncology Associates, Pllc is 2200 Highway 61 N Ste 3300, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Oncology Associates, Pllc |
|---|---|
| Address | 2200 Highway 61 N Ste 3300, Vicksburg, Mississippi |
| Phone Number | 6016383447 |
| Fax Number | 6016309227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Ward Kim |
| Telephone Number | 6019745513 |
NPI Number Detail
| NPI Number | 1023147204 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2021-11-09 |
Provider Mailing Address Detail
| Address | 2200 Highway 61 N Ste 3300 |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391838246 |
| Phone Number | 6016383447 |
| Fax Number | 6016309227 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3330910 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Oncology Associates, Pllc?
The Jackson Oncology Associates, Pllc has been issued the NPI (National Provider Identifier) 1023147204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jackson Oncology Associates, Pllc is physically located?
The Jackson Oncology Associates, Pllc is physically situated at the following address: 2200 Highway 61 N Ste 3300, Vicksburg, MS, 391838246.
What is the Jackson Oncology Associates, Pllc's specialty and taxonomy code?
The Jackson Oncology Associates, Pllc's specialty is Hematology & Oncology, and the corresponding taxonomy code is 207Rh0003X.
On what date did the Jackson Oncology Associates, Pllc receive its 1023147204 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Oncology Associates, Pllc was assigned its 1023147204 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information pertaining to Jackson Oncology Associates, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackson Oncology Associates, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-09.