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Individual

DR. MARCUS C BETHEA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 GRESHAM DR, PATHOLOGY DEPARTMENT, NORFOLK, VA 23507-1904
(757) 388-3221
Mailing address
4619 KENNY RD, SUITE C, COLUMBUS, OH 43220-2779
(614) 457-8180

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101262102
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2017-00283
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME0071774
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251894500
FL
Enumeration date
06/26/2006
Last updated
03/27/2017
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