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Contact Information

JOHN K DRAKE, MD
6300 E LAKE BLVD
SUITE 201
VANCLEAVE, MS39565-6770
 Phone: 228-230-2663
 Fax: 228-206-1192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN K DRAKE · (Male)

NPI Number 1154349223
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 03/22/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 07298
  • MS Medicaid 00117280
Hospital affiliation(s) Not Available
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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