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Individual

ASHLEY W MCGLAWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
401 BAPTIST DR, MADISON, MS 39110-2009
(601) 856-2598
(601) 856-4459
Mailing address
401 BAPTIST DR, MADISON, MS 39110-2009
(601) 856-2598
(601) 856-4459

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24899
MS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2415
INSURANCE
01
3429
INSURANCE
01
41124
INSURANCE
01
412MP
INSURANCE
01
6400
INSURANCE
01
64069
INSURANCE
01
87726
INSURANCE
01
SB730
INSURANCE
01
TREST
INSURANCE
Enumeration date
04/07/2014
Last updated
01/31/2019
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