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Jerry Dixon JR.
Non-emergency Medical Transport (VAN) in Kosciusko, Mississippi
NPI 1467091371

Jerry Dixon JR. is a Non-emergency Medical Transport (VAN) based in Kosciusko, MS. Jerry Dixon JR. practices in Kosciusko, MS. The NPI Number for Jerry Dixon JR. is 1467091371 and holds a License No. (Mississippi).

The current practice location address for Jerry Dixon JR. is 14337 Highway 12 W, Kosciusko, MS and can be reached out via phone at 662-705-2210. You can also correspond with Jerry Dixon JR. through the mailing address at PO BOX 1224, KOSCIUSKO, MS - 39090-1224 (mailing address contact number: 662-705-2210).

Location: 14337 Highway 12 W, Kosciusko, MS, 39090-1224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467091371
Provider Name
Jerry Dixon JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
14337 Highway 12 W, Kosciusko, MS, 39090-1224
Phone Number
662-705-2210
Fax Number
Provider Enumeration Date
12/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14337 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3689
Phone Number
662-705-2210
Fax Number
person
Provider Business Mailing Address Details
Address
14337 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3689
Phone Number
662-705-2210
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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