Individual
DR. MARSHALL SCOTT TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
(601) 483-5322
(601) 581-2289
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14897
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009700450
ALMCD
AL
05
—
0117444
—
MS
01
—
073075294TYN
AL BCBS
AL
01
—
279588
TRICARE
—
Enumeration date
10/06/2006
Last updated
10/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us