Mcleod, Mary Morgan

Mcleod, Mary Morgan is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mcleod, Mary Morgan can be contacted via phone (601) 984-2940.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X T-2573 Mississippi
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 23896 Mississippi

Profile Details

NPI number 1235493701
LBN Legal business name Mcleod, Mary Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jul 6th, 2016 - about 8 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 1235493701 NPPES
Mississippi MEDICAID 07305711
Mississippi Other T-2573

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