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Individual

MARVIN DUNBAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
104 COUNTRY COVE LANE, MADISON, MS 39110-9755
(601) 856-1990
Mailing address
104 COUNTRY COVE LANE, MADISON, MS 39110-9755
(601) 856-1990

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17276
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125232
MS
Enumeration date
05/08/2006
Last updated
02/19/2008
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