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Individual

CHRISTINA MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22504
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00285094
MS
01
P01753964
RAILROAD MEDICARE
MS
Enumeration date
08/02/2009
Last updated
01/23/2017
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