Individual
DANIEL MARSHALL MCCLUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1307 ASTON AVE, MCCOMB, MS 39648-2898
(601) 684-8118
Mailing address
5334 CAROLWOOD DR, JACKSON, MS 39211-4267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4076
MS
207W00000X
Ophthalmology Physician
Primary
31555
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2020
Last updated
09/25/2024
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