NPI 1457321325
Dexter W Walcott, MD
Practice location
- Address
- 1513 Lakeland Dr. Suite 101, Jackson, MS 39216
- Phone
- (601) 354-4836
- Fax
- (601) 354-2619
Registered specialties
Allergy & Immunology Physician
Primary
Registry record
- NPI
- 1457321325
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jan 2006
- Record last updated
- 20 Jul 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.