Individual
DR. MYRA A WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. , M.P.H.
Contact information
Practice address
1730 BELLEWOOD RD, JACKSON, MS 39211-5701
(601) 940-9785
(601) 366-2698
Mailing address
1730 BELLEWOOD RD, JACKSON, MS 39211-5701
(601) 940-9785
(601) 366-2698
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17023
MS
Other
Enumeration date
11/28/2006
Last updated
09/08/2010
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