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Individual

JAMES R. MCAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
618 PEGRAM DR, TUPELO, MS 38801-6322
(662) 844-6513
(662) 844-1113
Mailing address
PO BOX 2180, TUPELO, MS 38803-2180
(662) 844-6513
(662) 844-1113

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
12859
MS
207YX0602X
Otolaryngic Allergy Physician
12859
MS
207YX0901X
Otology & Neurotology Physician
Primary
12859
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114903
MS
Enumeration date
08/10/2006
Last updated
06/29/2010
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