Individual
JOHN SHAUGHNESSY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-2000
(601) 200-5939
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056-5106
(601) 815-2005
(601) 984-5110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33327
MS
2086S0129X
Vascular Surgery Physician
Primary
33327
MS
Other
Enumeration date
03/24/2017
Last updated
12/31/2024
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