NPI 1922006279 · live from the CMS NPI Registry
Virgil Isaac Aultman, MD
Family Medicine, Adult Medicine in Jackson, MS. National Provider Identifier 1922006279, active.
NPI record
| NPI | 1922006279 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 2747 Old Canton Rd, Jackson, MS 39216 |
| Practice phone | 601-366-6452 |
| Enumerated | July 11, 2005 |
| Last updated | March 15, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | 06153 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.