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Dr. Gailen Daugherty Marshall, MD
Allergy & Immunology (Internal Medicine) Physician in Jackson, Mississippi
NPI 1609810894

Gailen Daugherty Marshall is an Allergy & Immunology (Internal Medicine) Physician based in Jackson, MS and is specialized in Allergy & Immunology. Gailen Daugherty Marshall practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Gailen Daugherty Marshall is 1609810894 and holds a License No. 18705 (Mississippi).

The current practice location address for Gailen Daugherty Marshall is 878 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-815-1078.

Location: 878 Lakeland Dr, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609810894
Provider Name
Gailen Daugherty Marshall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
878 Lakeland Dr, Jackson, MS, 39216-4500
Phone Number
601-815-1078
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03152381 05 MS
1723380 05 LA
institution
Provider Business Practice Location Address Details
Address
878 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-815-1078
Fax Number
person
Provider Business Mailing Address Details
Address
878 Lakeland Dr
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-815-1078
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
18705 (Mississippi)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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