Provider Demographics
NPI:1255576377
Name:BARRON, MARK TIMOTHY (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:TIMOTHY
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-268-5630
Mailing Address - Fax:601-579-3285
Practice Address - Street 1:103 MEDICAL PARK FL 2
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-9042
Practice Address - Country:US
Practice Address - Phone:601-268-5630
Practice Address - Fax:601-579-3285
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2023-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYR1910207X00000X
MO2013037725207X00000X
NC201302054207X00000X
MS23535207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery