Individual
J BARRY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 332-9872
(662) 378-0280
Mailing address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 332-9872
(662) 378-0280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D84161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110684
—
MS
01
—
4205584
AETNA PIN
MS
Enumeration date
06/22/2006
Last updated
02/11/2008
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