Individual
DR. MARSHALL EDWARD BELAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209
(601) 321-2400
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
15849
MS
2084P0800X
Psychiatry Physician
Primary
15849
MS
2084P0805X
Geriatric Psychiatry Physician
15849
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05083526
—
MS
Enumeration date
07/04/2006
Last updated
09/20/2019
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