Individual provider · Type 1 NPI

Virgil Isaac Aultman, MD

Adult Medicine Physician · Jackson, MS

NPI number 1922006279 Active

Practice location

2747 Old Canton Rd
Jackson, MS 39216-4308

Call (601) 366-6452 Map

Fax (601) 366-6488

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X06153 (MS)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1922006279

Virgil Isaac Aultman, MD's National Provider Identifier is 1922006279, issued on Jul 11, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Jackson, MS. The record was last updated on Mar 15, 2010.