Virgil Isaac Aultman (NPI# 1922006279, PAC ID# 2365459815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1922006279 |
| PAC ID by PECOS | 2365459815 |
| Professional Enrollment ID | I20060308000808 |
| Full Name | Virgil Isaac Aultman |
| Address |
2747 Old Canton Rd Jackson MS 39216-4308 |
| Phone Number | 6019827647 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2747 Old Canton Rd, Jackson, MS 39216-4308 | 6019827647 |
| Street Address |
2747 OLD CANTON RD |
| City | JACKSON |
| State | MS |
| Zip | 39216-4308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark O Rester | Psychiatry | 1225 N State St, Jackson, MS 39216 | |
| Jasmine Martin Smith | Physical Therapy | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Lula Johnson | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Olivia Mccay | Registered Dietitian Or Nutrition Professional | Nutrition Systems Wellness LLC | 603 Duling Ave, Suite 207, Jackson, MS 39216-4009 |
| Nosratollah Ghaemmaghami | Internal Medicine | 381 Medical Dr, Jackson, MS 39216-4118 | |
| Julie P Wyatt | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Nancy H Goldman | Certified Clinical Nurse Specialist (cns) | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4225 | |
| Louis Wise Jr. | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Thomas H Cabell | Ophthalmology | 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4234 | |
| Albert T Williams | Ophthalmology | A.terrel Williams, Md, Pllc | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4245 |
| Find all physicians in zip 39216 | |||
| City | JACKSON |
| Zip Code | 39216 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JACKSON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Virgil Isaac Aultman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.