Glisson, James Kevin

Glisson, James Kevin is an individual health care provider with primary practice located at 2500 N State St Department Of Medicine Division Of General Internal Med, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Glisson, James Kevin can be contacted via phone (601) 984-5660.

Contact Information

Primary practice address
2500 N State St Department Of Medicine Division Of General Internal Med Jackson MS 39216-4500
Phone: (601) 984-5660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18670 Mississippi

Profile Details

NPI number 1245274281
LBN Legal business name Glisson, James Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 9th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245274281 NPPES
Mississippi MEDICAID 00501056

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