Individual
DR. LELAND D GEBHART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 MARSHALL STREET, SUITE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Mailing address
501 MARSHALL STREET, SUITE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14966
MS
207VM0101X
Maternal & Fetal Medicine Physician
14966
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120737
—
MS
Enumeration date
05/20/2006
Last updated
11/19/2011
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