Individual
MISS MARILYN K. AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1815 HOSPITAL DR, JACKSON, MS 39204-3425
(601) 815-5700
(601) 346-5708
Mailing address
PO BOX 4999, JACKSON, MS 39296-4999
(601) 984-5410
(601) 815-3771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09438
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120535
—
MS
Enumeration date
09/26/2006
Last updated
07/08/2007
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