Whalio Doctors

NPI 1376584920

Christopher L Jackson, MD

Practitioner Emergency Medicine Physician Vicksburg, MS

Practice location

Address
2100 Highway 61 N, Vicksburg, MS 39183-8211
Phone
(601) 883-5000
Mailing address
PO Box 1198 Dept 03-007rc, Vicksburg, MS 39181-1198

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 16463 (MS)

Registry record

NPI
1376584920
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2006
Record last updated
5 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.