Lee, Marcus Wayne

Lee, Marcus Wayne is an individual health care provider with primary practice located at 3631 Bienville Blvd Suite A, Ocean Springs MS 39564-5702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Lee, Marcus Wayne can be contacted via phone (228) 818-9620.

Contact Information

Primary practice address
3631 Bienville Blvd Suite A Ocean Springs MS 39564-5702
Phone: (228) 818-9620
Fax: (228) 818-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20353 Mississippi
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 20353 Mississippi

Profile Details

NPI number 1689870982
LBN Legal business name Lee, Marcus Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2007
Last updated May 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689870982 NPPES
Mississippi MEDICAID 01931896
Mississippi Other 302I373520

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