Individual
DR. DANIEL BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1506 ASTON AVE, MCCOMB, MS 39648-2735
(601) 249-4415
(601) 249-4474
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02956343
—
MS
Enumeration date
05/09/2006
Last updated
02/17/2026
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