Individual
JOINER MACK HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Mailing address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11729
MS
2085R0202X
Diagnostic Radiology Physician
Primary
11729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115705
—
MS
Enumeration date
08/16/2006
Last updated
01/17/2025
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