Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARKETTA BLUE
ActiveMARKETTA BLUE is a Family Medicine healthcare provider located in MOUND BAYOU, Mississippi. NPI 1548671514 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUND BAYOU, MS
Registration Details
- NPI Number
- 1548671514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2014 (12.256266981041 yrs)
- Last Updated
- Jul 8, 2025
- License
-
25120 (MS)
Practice Information
- Address
-
702 MARTIN LUTHER KING STMOUND BAYOU, MS, 387629314Browse MS providers · Browse ZIP 38762
- Phone
- 6627418800
- Fax
- 6627418895
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.