Individual
JUSTIN PAUL MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 251-2067
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159821
NCCPA ID
—
Enumeration date
03/08/2019
Last updated
08/17/2023
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