Organization
THE AKESO GROUP - VICKSBURG
Active
Parent organization
THE AKESO GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE AKESO GROUP
Authorized official
DR. JOHNATHAN MILTON ISOM M.D. (CEO)
(901) 797-9711
Entity
Organization
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
5744 NANJACK CIR, MEMPHIS, TN 38115-2061
(901) 797-9711
(901) 797-9771
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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