Individual
DR. GAILEN DAUGHERTY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
878 LAKELAND DR, JACKSON, MS 39216-4500
(601) 815-1078
Mailing address
878 LAKELAND DR, JACKSON, MS 39216-4500
(601) 815-1078
(601) 984-6994
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
18705
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03152381
—
MS
05
—
1723380
—
LA
Enumeration date
06/16/2006
Last updated
01/24/2017
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