Individual
MR. ERIC ALEXANDER MCVEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4714
(601) 200-4718
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07687
MS
207RI0200X
Infectious Disease Physician
Primary
07687
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016957
—
MS
01
—
P01186241
RAILROAD MEDICARE
MS
Enumeration date
11/10/2005
Last updated
08/06/2021
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