Individual
DR. SHELLEY WILKERSON MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1922 23RD AVE, MERIDIAN, MS 39301-3107
(601) 482-8986
(601) 482-6100
Mailing address
1922 23RD AVE, MERIDIAN, MS 39301-3107
(601) 482-8986
(601) 482-6100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3468-08
MS
390200000X
Student in an Organized Health Care Education/Training Program
3468-08
MS
Other
Enumeration date
07/10/2008
Last updated
06/25/2019
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