Individual
MARCUS SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2475 LAKELAND DR STE A, JACKSON, MS 39232-9505
(601) 664-1022
(601) 664-1076
Mailing address
5345 CANTON HEIGHTS DR, JACKSON, MS 39206
(601) 398-0808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1088
MS
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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