# MARLETTE FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588680029
- **Authorized official:** DR. MARNIE STONE MARLETTE MD (PRESIDENT)
- **Authorized official phone:** (336) 778-0200

## Contact information

- **Practice address:** 2554 LEWISVILLE CLEMMONS RD, SUITE 109, CLEMMONS, NC 27012-8110
- **Practice address phone:** (336) 778-0200
- **Practice address fax:** (336) 778-0202
- **Mailing address:** 2554 LEWISVILLE CLEMMONS RD, SUITE 109, CLEMMONS, NC 27012-8110
- **Mailing address phone:** (336) 778-0200
- **Mailing address fax:** (336) 778-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2020