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Individual

JAMES W. LOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
199 RIMMER STREET, WALNUT GROVE, MS 39189-0370
(601) 253-2733
(601) 253-2733
Mailing address
PO BOX 370, WALNUT GROVE, MS 39189-0370
(601) 253-2733
(601) 253-2733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12628
MS
207RH0005X
Hypertension Specialist Physician
Primary
12628
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116489
MS
01
P00127232
RAILROAD MEDICARE
Enumeration date
12/30/2005
Last updated
06/26/2014
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