Individual
MARISA C MAMMARAPPALLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4191 MENDENHALL OAKS PKWY, SUITE 140, HIGH POINT, NC 27265-8035
(336) 664-6175
Mailing address
4191 MENDENHALL OAKS PKWY, SUITE 140, HIGH POINT, NC 27265-8035
(336) 664-6175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2009-01454
NC
Other
Enumeration date
08/16/2007
Last updated
10/21/2009
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