Marshall Justin Bynum (NPI# 1174980213, PAC ID# 2567766306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174980213 |
| PAC ID by PECOS | 2567766306 |
| Professional Enrollment ID | I20160215001846 |
| Full Name | Marshall Justin Bynum |
| Organization Legal Name | SOUTHERN BONE AND JOINT SPECIALISTS PA |
| Address |
3688 Veterans Memorial Dr Suite 200 Hattiesburg MS 39401-8246 |
| Phone Number | 6015547400 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254328818 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| 250094 | MERIT HEALTH WESLEY |
| 250058 | SOUTH CENTRAL REG MED CTR |
| 250077 | WAYNE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1215 Hwy 98 Byp, Columbia, MS 39429-3702 | 6015547400 | SOUTHERN BONE AND JOINT SPECIALISTS PA |
| 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 6015547400 | SOUTHERN BONE AND JOINT SPECIALISTS PA |
| 1515 Jefferson St, Laurel, MS 39440-4244 | 6015547400 | SOUTHERN BONE AND JOINT SPECIALISTS PA |
| Organization Legal Name | SOUTHERN BONE AND JOINT SPECIALISTS PA |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Christopher Patterson | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Clifton H Davis | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Kim T Simnicht | Nurse Practitioner | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Jimmie G Moore | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Micah Childs | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Robert C Dews Jr. | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| James A Antinnes | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| James Norton Sikes | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Austin W Smithers | Physical Therapy | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Constantine P Charoglu | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Street Address |
3688 VETERANS MEMORIAL DR SUITE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Christopher Patterson | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Clifton H Davis | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Kim T Simnicht | Nurse Practitioner | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Jimmie G Moore | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Micah Childs | Physician Assistant | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Robert C Dews Jr. | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| James A Antinnes | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| James Norton Sikes | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Austin W Smithers | Physical Therapy | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Constantine P Charoglu | Orthopedic Surgery | Southern Bone and Joint Specialists Pa | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HATTIESBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marshall Justin Bynum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.