Individual
DR. JOHN DUANE ISAACS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5300
(601) 815-1645
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5300
(601) 815-1645
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
12508
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120264
—
MS
01
—
4627829
AETNA
MS
Enumeration date
05/31/2006
Last updated
01/27/2015
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