SearchMississippi207QA0505X

Virgil Aultman, MD

NPI 1922006279 · on the registry since 2005 · sole proprietor

Practice

Address
2747 Old Canton Rd
Jackson, MS 39216
Phone
(601) 366-6452
Fax
(601) 366-6488

Registry record

Primary taxonomy
207QA0505X
207QA0505X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi