Doctor Name: | DR. JOHN C HALBROOK |
NPI Number: | 1992782924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 07013 |
Business Practice Address: | 1704 23rd Ave Meridian, MS - 393013103 |
Business Phone Number: | 6014821555 |
Business Fax Number: | 6014822796 |
Mailing Address: | 1704 23rd Ave, MERIDIAN |
State: | MS |
Postal Code: | 393013103 |
Phone Number: | 6014821555 |
Fax Number: | 6014822796 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 07013 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |