Dr. William Dotie Jackson
Plastic and Reconstructive Surgery
160 Fountains Blvd Ste B
Madison
, Mississippi 39110-6343
Dr. William Dotie Jackson
Plastic and Reconstructive Surgery
160 Fountains Blvd Ste B
Madison
, Mississippi 39110-6343
(601) 981-3152
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. William Dotie Jackson
- 160 Fountains Blvd Ste B
- Madison, MS
- Zip : 39110-6343
- Fax : (601) 981-3152
- Phone : (601) 981-2525
Second Address
- Dr. William Dotie Jackson
- 160 Fountains Blvd Ste B
- Madison, MS
- Zip : 39110-6343
- Fax : (601) 981-3152
- Phone : (601) 981-2525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 19747 | MS |
National Provider Identifier
| NPI | 1194858688 |
|---|---|
| Provider Name | Dr. William Dotie Jackson |
| First Address | Madison, MS 39110-6343 |
| Second Address | Madison, MS 39110-6343 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 19/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.