Individual
JOHN T CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 657, JACKSON, MS 39216-4608
(601) 200-2780
(601) 200-2788
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-2780
(601) 200-2788
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
26975
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07583261
—
MS
01
—
1R9597
MEDICARE ST DOM
MS
01
—
26975
MS MEDICAL LICENSE
MS
Enumeration date
05/02/2014
Last updated
08/03/2021
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