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Contact Information

JAY P MCDONALD II, MD
7900 AIRWAYS BLVD STE 2
SOUTHAVEN, MS38671-4113
 Phone: 662-404-8630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JAY P MCDONALD II · (Male)

NPI Number 1144532276
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2010
Last updated 06/25/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 23317
  • TN License # 56365
  • MS Medicaid 01522869
  • MS Medicaid 100181198
  • TN Medicaid Q031256
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
  • BAPTIST MEMORIAL HOSPITAL DESOTO - (Acute Care)
    7601 SOUTHCREST PARKWAY
    SOUTHAVEN, MS 38671
  • MAGNOLIA REGIONAL HEALTH CENTER - (Acute Care)
    611 ALCORN DRIVE
    CORINTH, MS 38834
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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