Individual
MRS. CHERYL LYNN GLADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 664-1300
(601) 292-4262
Mailing address
1151 N STATE ST, SUITE 504, JACKSON, MS 39202-2407
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15993
MS
208M00000X
Hospitalist Physician
15993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123468
—
MS
Enumeration date
03/20/2006
Last updated
11/21/2023
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