Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Virgil Isaac Aultman, MD

Individual provider Adult Medicine Physician · NPI 1922006279

Dr. Virgil Isaac Aultman, MD is an Adult Medicine Physician in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2747 Old Canton Rd
Jackson, MS 39216-4308
Phone: (601) 366-6452
Fax: (601) 366-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 06153 (MS)

Record details

NPI number1922006279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2005
Last updated in NPPESMarch 15, 2010

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