Individual
ALLEN MCNEIL HARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 N STATE ST, SUITE 400, JACKSON, MS 39202-1658
(601) 353-9900
Mailing address
1421 N STATE ST, SUITE 400, JACKSON, MS 39202-1658
(601) 353-9900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20832
MS
208800000X
Urology Physician
4301095875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20832
LICENSE
MS
Enumeration date
09/16/2007
Last updated
01/08/2014
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