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Contact Information

JACKSON ONCOLOGY ASSOCIATES, PLLC
2200 HIGHWAY 61 N STE 3300
VICKSBURG, MS39183-8246
 Phone: 601-638-3447
 Fax: 601-630-9227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACKSON ONCOLOGY ASSOCIATES PLLC · (Female)

NPI # 1023147204
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2007
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 03330910
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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