Individual
DR. LESLIE E ENGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 JEFFERSON DAVIS BLVD, SUITE C, NATCHEZ, MS 39120-5140
(601) 442-9802
(601) 442-5802
Mailing address
151 JEFFERSON DAVIS BLVD, SUITE C, NATCHEZ, MS 39120-5140
(601) 442-9802
(601) 442-5802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
8503
MS
207R00000X
Internal Medicine Physician
08503
MS
207RI0200X
Infectious Disease Physician
Primary
08503
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017028
—
MS
05
—
1190446
—
LA
01
—
64-0616881
TAX ID
—
01
—
640616881
ALL BLUE CROSS
MS
Enumeration date
06/23/2006
Last updated
09/18/2020
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