Individual
DR. GERALD RICHARD MCLEMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(662) 984-5582
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(662) 984-5582
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23015
MS
207P00000X
Emergency Medicine Physician
T-2464
MS
Other
Enumeration date
07/01/2011
Last updated
06/11/2014
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