SearchMississippi183500000X

Jesse Doran

NPI 1447738299 · on the registry since 2018

Practice

Address
18 First Ave
Tishomingo, MS 38873
Phone
(662) 438-6605
Fax
(662) 438-6680
Organisation at this address
Gatlins Pharmacy Inc
Gatlins Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi