IndividualActive
Mark Runnels
NPI 1144532391 · Urology Physician · Jackson, MS
Provider details
- NPI number
- 1144532391
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- T-2356 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1421 N State St
Ste 403
Jackson, MS 39202-1658
Phone: (601) 353-9900
Fax: (601) 353-3654
Approximate (ZIP-level) locationGet directions
Mailing address
501 Marshall St
Jackson, MS 39202-1687
Registry dates
- Enumerated
- 2010-07-03
- Last updated
- 2018-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.