Individual
DR. NYRON T MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12261 HIGHWAY 49, SUITE 11, GULFPORT, MS 39503-2975
(228) 575-2176
(228) 575-2177
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2176
(228) 575-2177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119981
—
MS
01
—
4946752
CIGNA ID
—
Enumeration date
12/18/2006
Last updated
12/23/2016
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