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Contact Information

CARROLL M MCLEOD, MD
1325 E FORTIFICATION ST
JACKSON, MS39202-2442
 Phone: 601-354-4488
 Fax: 601-351-5980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CARROLL M MCLEOD · (Male)

NPI # 1245383033
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2007
Last updated 08/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 12138
  • MS Medicaid 00110112
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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