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DR. VIRGIL ISAAC AULTMAN MD
NPI 1922006279
Family Medicine - Adult Medicine in Jackson, MS

Active since July 11, 2005
2747 OLD CANTON RD, JACKSON, MS 39216(601) 366-6452(601) 366-6488 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Virgil Isaac Aultman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIRGIL ISAAC AULTMAN MD (NPI 1922006279) is an individual adult medicine provider in Jackson, Mississippi, licensed in Mississippi (06153) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1922006279
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. VIRGIL ISAAC AULTMANCredential: MD
Location Address2747 OLD CANTON RDJackson, MS 39216-4308
Mailing Address2747 Old Canton RdJackson, MS 39216-4308 · (601) 366-6452 · Fax (601) 366-6488
Phone(601) 366-6452
Fax(601) 366-6488
Sole ProprietorYes
Enumeration DateJuly 11, 2005
Last NPPES UpdateMarch 15, 2010
✔ NPI 1922006279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MS · 06153
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2747 OLD CANTON RD, Jackson, MS 39216
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Other Identifiers 3

Medicare UPIND75235MS
Medicare ID-Type Unspecified081945377MS
Medicaid00013576MS

Reviews for DR. VIRGIL ISAAC AULTMAN MD

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Frequently Asked Questions

What is Virgil Aultman's NPI number?

The NPI number assigned to this healthcare provider is 1922006279, enumerated as an "individual" on July 11, 2005.

Where is the provider located?

The provider is located at 2747 OLD CANTON RD JACKSON, MS 39216 and the phone number is (601) 366-6452.

What is the provider's specialty?

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

What insurance does Virgil Aultman accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.