Individual
MR. HARVEY WILLIAM MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1200
(601) 368-3875
Mailing address
709 DUNLEITH LN, RIDGELAND, MS 39157-1550
(601) 364-1200
(601) 368-3875
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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