Individual
LEIGH ANN CASHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-9126
(601) 947-1331
Mailing address
PO BOX 628, LUCEDALE, MS 39452-0628
(601) 947-9126
(901) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19622
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06173013
—
MS
01
—
512I300167
MEDICARE PTAN
MS
Enumeration date
07/14/2006
Last updated
12/30/2010
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