Adkins, Jerry Ross

Adkins, Jerry Ross is an sole proprietor health care provider with primary practice located at 11516 Lamey Bridge Road Ste 1 , D'Ilberville MS 39340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Adkins, Jerry Ross can be contacted via phone (228) 207-4190.

Contact Information

Primary practice address
11516 Lamey Bridge Road Ste 1 D'Ilberville MS 39340
Phone: (228) 207-4190
Fax: (228) 207-4156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04305 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04305 Mississippi

Profile Details

NPI number 1760426563
LBN Legal business name Adkins, Jerry Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760426563 NPPES
Mississippi MEDICAID 00012155

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