Individual
MR. JERRY L. MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2404 EMMA GRACE LN, ROCK HILL, SC 29732-7657
(704) 705-0973
Mailing address
2404 EMMA GRACE LN, ROCK HILL, SC 29732-7657
(704) 705-0973
(925) 401-2990
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
146613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246ZC0007X
—
NC
Enumeration date
01/13/2014
Last updated
02/18/2021
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