Individual
DR. PHILLIP K MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
1920 40TH ST, MERIDIAN, MS 39305-3847
(601) 581-5929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
09989
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015128
—
MS
05
—
009965900
—
AL
01
—
730-11251
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/26/2006
Last updated
05/12/2025
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