IndividualActive
Michael Mcmullan, M.D.
NPI 1104857036 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1104857036
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 13195 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Division of Cardiology
Jackson, MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2019-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.