Organization
MELANIE K. MARSHALL, DDS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE K. MARSHALL MD, DDS (OWNER)
(704) 636-7215
Entity
Organization
Contact information
Practice address
902 S SALISBURY AVE, SPENCER, NC 28159-2065
(704) 636-7215
(704) 636-2898
Mailing address
PO BOX 29, SPENCER, NC 28159-0029
(704) 636-7215
(704) 636-2898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6840
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902037
—
NC
05
—
5903242
—
NC
Enumeration date
02/25/2008
Last updated
08/11/2014
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