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Julie P Wyatt

Dermatologist

3000 Old Canton Rd Ste 430
Jackson , Mississippi 39216

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Julie P Wyatt

Dermatologist

3000 Old Canton Rd Ste 430
Jackson , Mississippi 39216

(601) 815-6613

Write a Review Save Call

Julie P Wyatt

Dermatologist

3000 Old Canton Rd Ste 430
Jackson , Mississippi 39216

(601) 815-6613 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist

Languages spoken

  • English

Location

3000 Old Canton Rd Ste 430 Jackson , Mississippi 39216

First Address

  • Julie P Wyatt
  • 3000 Old Canton Rd Ste 430
  • Jackson, MS
  • Zip : 39216-4225
  • Fax : (601) 815-6613
  • Phone : (601) 982-5441

Second Address

  • Julie P Wyatt
  • 3000 Old Canton Rd Ste 430
  • Jackson, MS
  • Zip : 39216
  • Fax : (601) 982-5442
  • Phone : (601) 982-5441

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FAQs


Where did Julie P Wyatt attend graduate school?

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Where did Julie P Wyatt do her residency?

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Where did Julie P Wyatt do her fellowship?

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Is Julie P Wyatt board certified?

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What type of doctor is Julie P Wyatt

Dermatologist

In what state does Julie P Wyatt practice in?

Mississippi

Where is Julie P Wyatt ’s practice located?

3000 Old Canton Rd Ste 430 , Jackson, Mississippi, 39216

What is Julie P Wyatt ’s gender?

Female

Is Julie P Wyatt a sole practitioner?

No

Is Julie P Wyatt accepting new patients?

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What languages does Julie P Wyatt speak?

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Does Julie P Wyatt accept insurance?

Yes, Julie P Wyatt accepts insurance

Does Julie P Wyatt offers telemedicine?

Julie P Wyatt has not indicated if she offers telemedicine

What is Julie P Wyatt ’s professional license number?

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What is Julie P Wyatt ’s NPI number?

1053532226

Does Julie P Wyatt have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist 20645 MS

National Provider Identifier

NPI 1053532226
Provider Name Julie P Wyatt
First Address Jackson, MS 39216-4225
Second Address Jackson, MS 39216
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 02/05/2007
Last Update Date 30/08/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
08655862 (05) MS
P00781089 RR MEDICARE (01)
P01193355 RAILROAD MEDICARE PTAN (01) MS

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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