Individual
DR. ISSAC PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2832
(601) 936-1260
Mailing address
2550 FLOWOOD DR STE 402, FLOWOOD, MS 39232-9307
(601) 376-2832
(601) 936-1260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11304
MS
208M00000X
Hospitalist Physician
Primary
11304
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03559373
—
MS
01
—
P01237616
RAILROAD MEDICARE
MS
Enumeration date
09/06/2006
Last updated
10/09/2018
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