John Clark Henegan JR., MD - Jackson, MS

John Clark Henegan JR., MD

Student in an Organized Health Care Education/Training Program in Jackson, Mississippi

NPI 1114188471

John Clark Henegan JR. is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. John Clark Henegan JR. practices in Jackson, MS and has the professional credentials of MD. The NPI Number for John Clark Henegan JR. is 1114188471 and holds a License No. 22684 (Mississippi).

The current practice location address for John Clark Henegan JR. is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5616 and via fax at 601-984-5689.

Location: 2500 N State St, Jackson, MS, 39216-4500

NPI Number

1114188471

Provider Name

John Clark Henegan JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

2500 N State St, Jackson, MS, 39216-4500

Phone Number

601-984-5616

Fax Number

601-984-5689

Provider Enumeration Date

06/19/2008

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
02433543	05	MS

Address

2500 N State St

City

Jackson

State

Mississippi

Zip

39216-4500

Phone Number

601-984-5616

Fax Number

601-984-5689

Address

2500 N State St

City

Jackson

State

Mississippi

Zip

39216-4500

Phone Number

601-984-5616

Fax Number

601-984-5689

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Hematology & Oncology

Taxonomy

207RH0003X

License No.

()

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

22684 (Mississippi)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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