Individual provider · Type 1 NPI

John Gregory Ingram Ii, DO

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1467102111 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

3413 Kerry Pl
Augusta, GA 30909-2715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467102111

John Gregory Ingram Ii, DO's National Provider Identifier is 1467102111, issued on Mar 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Mar 25, 2022.