Individual
DR. JAMES KEVIN GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED, JACKSON, MS 39216-4500
(601) 984-5660
Mailing address
PO BOX 22727, JACKSON, MS 39225-2727
(601) 200-4749
(601) 200-0988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18670
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501056
—
MS
Enumeration date
06/16/2006
Last updated
10/09/2017
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