Individual
DR. TRUMAN MARKLEY EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-3135
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2009019548
MO
204F00000X
Transplant Surgery Physician
Primary
22185
MS
204F00000X
Transplant Surgery Physician
MD154953
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2392654
—
LA
01
—
P01245362
RR MEDICARE
MS
Enumeration date
01/04/2007
Last updated
06/16/2015
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