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Individual

DR. OBIE M. MCNAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 353-7070
Mailing address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 353-7070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10538
MS
207RP1001X
Pulmonary Disease Physician
10538
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00010311
MS
Enumeration date
07/03/2006
Last updated
07/07/2008
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