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Individual

DR. CHARLES EDWARD JACOCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 372-0577
(908) 282-3289
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD85083
SC
208D00000X
General Practice Physician
MD85083
SC

Other

Enumeration date
03/26/2018
Last updated
04/10/2025
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