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Individual

DR. JAMES MARK SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6144
Mailing address
2000 BANQUOS TRL, PENSACOLA, FL 32503-5837
(205) 657-4741

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25482
MS
207P00000X
Emergency Medicine Physician
Primary
38180
AL
207P00000X
Emergency Medicine Physician
ME140457
FL

Other

Enumeration date
03/30/2016
Last updated
10/02/2025
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