Provider Demographics
NPI:1386390813
Name:PREYEAR, MARION S
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:S
Last Name:PREYEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1672
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36461-1672
Mailing Address - Country:US
Mailing Address - Phone:800-262-5052
Mailing Address - Fax:251-651-6615
Practice Address - Street 1:19 HINES ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1833
Practice Address - Country:US
Practice Address - Phone:800-262-5052
Practice Address - Fax:251-651-6615
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL01D2160973247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician