Individual
DR. JOHN C HALBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1704 23RD AVE, MERIDIAN, MS 39301-3103
(601) 482-1555
(601) 696-4608
Mailing address
1704 23RD AVE, MERIDIAN, MS 39301-3103
(601) 482-1555
(601) 696-4608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07013
MS
207RH0003X
Hematology & Oncology Physician
Primary
07013
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000121501
—
MS
01
—
1164433678
CLINIC NPI
MS
01
—
830000087
MEDICARE LEGACY
MS
01
—
900004196
PALMETTO GBA RAILROAD
MS
01
—
CF9149
RAILROAD GROUP #
MS
Enumeration date
12/30/2005
Last updated
10/15/2024
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