Individual
JOHN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6426
(706) 651-3232
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-4433
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
06/21/2024
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