Organization
MARCELIN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FITZGERALD MARCELIN MD,FAAP,FACGS (PHYSCIAN/CEO)
(434) 336-9811
Entity
Organization
Contact information
Practice address
137 BAKER SREET, EMPORIA, VA 23847
(434) 336-9811
(434) 336-0082
Mailing address
137 BAKER SREET, PO BOX 958, EMPORIA, VA 23847
(434) 336-9811
(434) 336-0082
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101231381
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005861128
—
VA
05
—
89065FC
—
NC
Enumeration date
07/24/2006
Last updated
09/11/2008
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