MR. JAMES R HALTOM MD
Allergy and Immunology
Jackson, Mississippi
Provider NPI: 1710965694
Provider Information:MR. JAMES R HALTOM MD
Practice Location:
1513 LAKELAND DR STE 101 JACKSON, MS 39216 US
Tel: 601-354-4836 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | MS | 08739 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00114795 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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