Individual
DR. JAMES CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-2057
(228) 809-5255
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 809-2057
(228) 809-5255
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MS08687
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121081
—
MS
01
—
009984755
ALABAMA MEDICAID
AL
01
—
646000515
BLUE CROSS OF MS
MS
01
—
646000515
TRICARE
—
01
—
P00285469
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
05/02/2022
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