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Contact Information

JACKSON ONCOLOGY ASSOCIATES, PLLC
1014 BIG LANE DR
BROOKHAVEN, MS39601-2331
 Phone: 601-355-2485
 Fax: 601-353-1463
 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 # 1396605739
LBN Legal business name JACKSON ONCOLOGY ASSOCIATES, PLLC
Authorized official DENDY MAGEE - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Identifiers n/a
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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