Individual
MR. JAMES R HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1513 LAKELAND DR, STE 101, JACKSON, MS 39216-4829
(601) 354-4836
(601) 354-2619
Mailing address
1513 LAKELAND DR, STE 101, JACKSON, MS 39216-4829
(601) 354-4836
(601) 354-2919
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
08739
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114795
—
MS
Enumeration date
01/03/2006
Last updated
02/15/2010
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