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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932119831 | NPPES |
| Mississippi | MEDICAID | 0016116 |
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