Individual
DR. GERALDINE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2679 CRANE RIDGE DR, SUITE F, JACKSON, MS 39216-4997
(601) 362-7476
(601) 362-7460
Mailing address
PO BOX 9228, JACKSON, MS 39286-9228
(601) 362-7476
(601) 362-7460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
07969
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126910
—
MS
Enumeration date
06/08/2006
Last updated
02/01/2011
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