Mcleod, Carroll M

Mcleod, Carroll M is an individual health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mcleod, Carroll M can be contacted via phone (601) 354-4488.

Contact Information

Primary practice address
1325 E Fortification St Jackson MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 351-5980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 12138 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 12138 Mississippi

Profile Details

NPI number 1245383033
LBN Legal business name Mcleod, Carroll M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 18th, 2021 - about 3 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 1245383033 NPPES
Mississippi MEDICAID 00110112

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