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Individual
MRS. SUSAN B MARSHALL
Active
Individual
MRS. SUSAN B MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-0700
NC
363AM0700X
Medical Physician Assistant
0010-00700
NC
363AM0700X
Medical Physician Assistant
PA10418
TX
Other
Enumeration date
11/29/2006
Last updated
08/25/2022
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