Individual
DR. MARC HELLRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1297 W GOVERNMENT ST, BRANDON, MS 39042-3048
(601) 200-4790
(601) 200-5929
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18818
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06385771
—
MS
Enumeration date
07/06/2006
Last updated
03/25/2020
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