Individual
DANIEL T MCCALL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5909 US HIGHWAY 49, SUITE 30, HATTIESBURG, MS 39401
(601) 296-2780
(601) 296-2781
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 296-2780
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
18013
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08374068
—
MS
05
—
1419583
—
LA
01
—
640507572TE
AMERICAN ADMIN GROUP
MS
Enumeration date
09/26/2006
Last updated
07/20/2020
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