William G. Jackson, M.D.,P.A.

LBN: William G. Jackson, M.D.,P.A.
William G. Jackson, M.D.,P.A. is an health care organization with primary practice located at 202 Alcorn Dr , Corinth MS 38834-9701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. William G. Jackson, M.D.,P.A. can be contacted via phone (662) 287-4481, or through Jackson, William via phone (662) 287-4481.

Contact Information

Primary practice address
202 Alcorn Dr Corinth MS 38834-9701
Phone: (662) 287-4481
Fax: (662) 287-4368
Website:
Map and Directions
Authorized official contact:
Name: Jackson, William
Phone: (662) 287-4481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07322 Mississippi

Profile Details

NPI number 1336162718
LBN Legal business name William G. Jackson, M.D.,P.A.
DBA Doing business as
Authorized official Jackson, William
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 5th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336162718 NPPES
Mississippi MEDICAID 04339516

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