NPI 1124989520
Marathon Health LLC
Practice location
- Address
- 1804 S Green St, Tupelo, MS 38804-6504
- Phone
- (812) 371-5762
Authorised official
- Name
- Charles van Every
- Title
- Manager
- Phone
- (408) 406-9645
Registered specialties
Primary Care Nurse Practitioner
Primary
Registry record
- NPI
- 1124989520
- Entity type
- Organization
- NPI issued
- 24 Nov 2025
- Record last updated
- 24 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.