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Individual

DR. JAMES KOLB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
(601) 815-1854

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
09881
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00014346
MS
01
110063829
RAILROAD MEDICARE
MS
05
156666
AL
01
512G700003
MS MEDICARE - GROUP
MS
01
P00462255
RAILROAD MEDICARE
MS
01
P01228847
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/05/2006
Last updated
03/10/2014
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