Individual
JEFFREY LOUIS MCGILBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HIGHWAY 39 NORTH, MERIDIAN, MS 39301
(601) 453-5493
(888) 735-7202
Mailing address
PO BOX 518, MARION, MS 39342
(601) 646-7700
(601) 646-7800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18633
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02479791
—
MS
01
—
531981
VALUE OPTIONS
—
Enumeration date
01/12/2006
Last updated
09/22/2014
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