Individual
DR. MELANIE KRISTEN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
902 S SALISBURY AVE, SPENCER, NC 28159-2065
(704) 636-7215
Mailing address
PO BOX 29, SPENCER, NC 28159-0029
(704) 636-7215
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8640
NC
174400000X
Specialist
200401268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902037
—
NC
05
—
5903242
—
NC
Enumeration date
07/18/2006
Last updated
08/11/2014
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