Mcauley, Malcolm Deaton

Mcauley, Malcolm Deaton is an individual health care provider with primary practice located at 618 Pegram Dr , Tupelo MS 38801-6322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mcauley, Malcolm Deaton can be contacted via phone (662) 844-6513.

Contact Information

Primary practice address
618 Pegram Dr Tupelo MS 38801-6322
Phone: (662) 844-6513
Fax: (662) 844-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 04839 Mississippi
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 04839 Mississippi

Profile Details

NPI number 1932119831
LBN Legal business name Mcauley, Malcolm Deaton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 29th, 2010 - about 15 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 1932119831 NPPES
Mississippi MEDICAID 0016116

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