Individual
DR. MARK OWEN RESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LAKELAND SQUARE EXT, STE. 900, FLOWOOD, MS 39232-7620
(601) 326-7632
(601) 326-7635
Mailing address
1000 LAKELAND SQUARE EXT, STE. 900, FLOWOOD, MS 39232-7620
(601) 326-7632
(601) 326-7635
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16623
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121487
—
MS
Enumeration date
11/08/2005
Last updated
04/28/2016
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