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Individual

DR. CHARLES T MARSTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 NORTH MAIN STREET, KENANSVILLE, NC 28349-0278
(336) 963-9066
Mailing address
8712 PLANTATION DR, PO BOX 4429, EMERALD ISLE, NC 28594-1918
(336) 963-9066

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23862
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8954119
NC
Enumeration date
12/28/2005
Last updated
01/13/2010
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