Individual
MARION JEWETT SORRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1080 HIGHWAY 35 S, FOREST, MS 39074-9423
(601) 469-3555
(601) 469-3584
Mailing address
PO BOX 2065, MERIDIAN, MS 39302-2065
(601) 703-3018
(601) 703-9283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18610
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00077331
—
MS
Enumeration date
06/17/2006
Last updated
09/22/2015
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