Doctor Name: | MR. EUGENE DAVID MCNALLY |
NPI Number: | 1427128255 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD MPH |
License Number: | 11462 |
Business Practice Address: | 350 Cowan Road Gulfport, MS - 39507 |
Business Phone Number: | 2288965195 |
Business Fax Number: | 2288972395 |
Mailing Address: | 350 Cowan Road, GULFPORT |
State: | MS |
Postal Code: | 39507 |
Phone Number: | 2288965195 |
Fax Number: | 2288972395 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |