Individual
MARY GLENN WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(205) 789-5731
Mailing address
3254 DELL RD, MOUNTAIN BRK, AL 35223-1318
(205) 789-5731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.52169
AL
Other
Enumeration date
04/15/2022
Last updated
10/01/2025
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