Individual
SANDRA SPECKELS MCCEARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216
(601) 982-7850
(601) 366-8507
Mailing address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4634
(601) 982-7850
(601) 366-8507
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2012013479
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
19433
MS
207RC0001X
Clinical Cardiac Electrophysiology Physician
2012013479
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05002037
—
MS
01
—
6039138
HEALTHSPRING
MS
01
—
7666474
CIGNA
MS
01
—
9818622
AETNA
MS
Enumeration date
09/20/2006
Last updated
04/29/2025
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