Individual
DR. JOHN DOUGLAS MAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5570
Mailing address
215 CHERRYBARK LN, BRANDON, MS 39047-7297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-2569
MS
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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