Individual
DR. MARION WALTER TOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 N. STATE ST., SUITE 311, JACKSON, MS 39202
(601) 969-1171
(601) 969-1173
Mailing address
1151 N. STATE ST., SUITE 311, JACKSON, MS 39202
(601) 969-1171
(601) 969-1173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00025517
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00025517
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936859
—
AL
05
—
009936861
—
AL
05
—
009937371
—
AL
01
—
51534608
BCBS O F AL
AL
01
—
51534609
BCBS OF AL
AL
01
—
51534610
BCBS OF AL
AL
05
—
845552295A
—
GA
Enumeration date
02/13/2006
Last updated
12/02/2010
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