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Contact Information

CHARLES E JACOCKS, MD
301 FISHER ST
BILOXI, MS39534-2508
 Phone: 228-372-0577
 Fax: 908-282-3289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHARLES E JACOCKS · (Male)

NPI # 1104321967
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2018
Last updated 04/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # MD85083
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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