Haltom, Joiner Mack

Haltom, Joiner Mack is an individual health care provider with primary practice located at 113 W Jackson St Ste B , Ridgeland MS 39157-2402. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Haltom, Joiner Mack can be contacted via phone (601) 354-4327.

Contact Information

Primary practice address
113 W Jackson St Ste B Ridgeland MS 39157-2402
Phone: (601) 354-4327
Fax: (601) 360-0822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11729 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11729 Mississippi

Profile Details

NPI number 1699888628
LBN Legal business name Haltom, Joiner Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 15th, 2021 - about 3 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 1699888628 NPPES
Mississippi MEDICAID 0115705

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