Individual
MARLAINA BERCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Mailing address
2500 N STATE ST, DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26689
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
10/15/2019
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