Provider Demographics
NPI:1548463169
Name:MACGREGOR, JOHN R (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:MACGREGOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:101 BRANDON PL
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1790
Mailing Address - Country:US
Mailing Address - Phone:985-626-3400
Mailing Address - Fax:985-845-1876
Practice Address - Street 1:1305 W CAUSEWAY APPROACH
Practice Address - Street 2:SUITE 211
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3043
Practice Address - Country:US
Practice Address - Phone:985-626-3400
Practice Address - Fax:985-845-1876
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst