Individual
DR. MARY KINNEY LOWE CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5339
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T-2152
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01730334
—
MS
05
—
140554
—
AL
Enumeration date
07/10/2008
Last updated
04/20/2017
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