IRVIN CORDELL MCDONALD

JACKSON, MS
NPI1023025319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MS  r588806)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Mr. IRVIN CORDELL MCDONALD np
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
Mr. IRVIN CORDELL MCDONALD np
288 PARKS RD
JACKSON, MS 39212-9601
Phone number: 601-362-4471