Individual
JAMES EDWARD MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1322 ELTON RD, SUITE D, JENNINGS, LA 70546-4138
(337) 824-1111
(337) 824-1122
Mailing address
1322 ELTON RD, SUITE D, JENNINGS, LA 70546-4138
(337) 824-1111
(337) 824-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024927
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423297
—
LA
01
—
450506014
TAX ID
LA
Enumeration date
03/28/2006
Last updated
02/29/2016
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