NPI 1174980213

Marshall Bynum, PA

Practitioner Medical Physician Assistant Hattiesburg, MS

Practice location

Address: 3688 Veterans Memorial Dr Suite 200, Hattiesburg, MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7499

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1174980213
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2016
Record last updated: 20 Jan 2016

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.