Individual
DR. VICKY C MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, SUITE 480, JACKSON, MS 39202-2000
(601) 352-2273
(601) 714-3415
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
21603
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09938503
—
MS
Enumeration date
07/06/2008
Last updated
03/28/2025
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