Individual
DR. JOHN RANDOLPH MARCEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., O.D.
Contact information
Practice address
6117 U S HIGHWAY 98, SUITE 20, HATTIESBURG, MS 39402-8654
(601) 264-2006
(601) 264-9030
Mailing address
PO BOX 18516, HATTIESBURG, MS 39404-8460
(601) 264-2006
(601) 261-3063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03951894
—
MS
Enumeration date
05/17/2006
Last updated
06/20/2019
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