Mccauley, Melanie Diane

Mccauley, Melanie Diane is an sole proprietor health care provider with primary practice located at 2500 N State St Department Of Medicine, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mccauley, Melanie Diane can be contacted via phone (601) 984-5601.

Contact Information

Primary practice address
2500 N State St Department Of Medicine Jackson MS 39216-4500
Fax: (601) 984-6665
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A137371 California

Profile Details

NPI number 1568717650
LBN Legal business name Mccauley, Melanie Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Aug 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568717650 NPPES
Mississippi Other T-2571 TEMPORARY STATE MEDICAL LICENSE

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