Individual
DR. MARSHA CRISCIO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3985
(910) 829-6588
(910) 829-6596
Mailing address
PO BOX 64367, FAYETTEVILLE, NC 28306-0367
(910) 829-6588
(910) 829-6596
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
158306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063542736
VA CHOICE
NC
05
—
1063542736
—
NC
Enumeration date
03/06/2007
Last updated
11/10/2016
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