Individual
MARK H. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 844-7021
(662) 842-5207
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 844-7021
(662) 842-5207
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13932
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113724
—
MS
Enumeration date
08/24/2005
Last updated
09/04/2019
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