Donelson, Shirley S

Donelson, Shirley S is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Donelson, Shirley S can be contacted via phone (606) 355-1234.

Contact Information

Primary practice address
2510 Lakeland Dr Flowood MS 39232-9513
Fax: (601) 326-3559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15892 Mississippi

Profile Details

NPI number 1669543120
LBN Legal business name Donelson, Shirley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 2nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669543120 NPPES
Mississippi MEDICAID 00119509

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