Whalio Doctors

NPI 1457321325

Dexter W Walcott, MD

Practitioner Allergy & Immunology Physician Jackson, MS

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
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 10031 (MS)

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.