Thaggard, Anson L

Thaggard, Anson L is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Thaggard, Anson L can be contacted via phone (601) 984-2538.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216
Phone: (601) 984-2538
Fax: (601) 815-1854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 13216 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13216 Mississippi

Profile Details

NPI number 1164510491
LBN Legal business name Thaggard, Anson L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 23rd, 2024 - about last year

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 1164510491 NPPES
Mississippi MEDICAID 00203599
Mississippi Other P01202306
Mississippi MEDICAID 179025
Mississippi Other POO634041

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