Organization
MARATHON HEALTH LLC
Active
Parent organization
MARATHON HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH LLC
Authorized official
CHARLES VAN EVERY (MANAGER)
(408) 406-9645
Entity
Organization
Contact information
Practice address
1804 S GREEN ST, TUPELO, MS 38804-6504
(812) 371-5762
Mailing address
1804 S GREEN ST, TUPELO, MS 38804-6504
(812) 371-5762
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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