Individual
MARVIN E HIGHTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 MARKET PL, HAZLEHURST, MS 39083-2205
(601) 894-8391
Mailing address
1215 MANCHESTER DR, CLINTON, MS 39056-3532
(601) 941-1130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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