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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

NPI Number 1023147204
LBN Legal business name JACKSON ONCOLOGY ASSOCIATES, PLLC
Authorized official KIM WARD - (CHIEF OPERATIONS OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/05/2007
Last updated 11/09/2021 - About 5 years ago
Identifiers
MS Medicaid 03330910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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