Individual
MARCUS K SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ALL AMERICAN DRIVE, UNIVERSITY, MS 38677
(662) 915-3784
(662) 915-7831
Mailing address
ALL AMERICAN DRIVE, UNIVERSITY, MS 38677
(662) 915-3784
(662) 915-7831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
359
MS
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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