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Individual

BENJAMIN A. MARBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 766-4212
Mailing address
PO BOX 607, LUCEDALE, MS 39452-0607
(601) 766-4212

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18076
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08121261
MS
Enumeration date
06/13/2006
Last updated
02/03/2016
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