Provider Demographics
NPI:1588620512
Name:MARCET, MARCUS M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:M
Last Name:MARCET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:66 N PAULINE ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-5105
Mailing Address - Country:US
Mailing Address - Phone:901-448-7642
Mailing Address - Fax:901-448-8015
Practice Address - Street 1:1910 NONCONNAH BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38132-2113
Practice Address - Country:US
Practice Address - Phone:901-448-2300
Practice Address - Fax:901-448-6657
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN39407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3329425Medicaid
I16101Medicare UPIN
3329425Medicare ID - Type Unspecified