Individual
MARCUS A WASHINGTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7450 S MASON MONTGOMERY RD UNIT 200, MASON, OH 45040-8080
(513) 204-5785
(513) 229-0228
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200501084
NC
207Q00000X
Family Medicine Physician
35-096641
OH
207Q00000X
Family Medicine Physician
Primary
84824
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3145028
—
OH
05
—
5902280
—
NC
05
—
848248
—
SC
Enumeration date
10/12/2005
Last updated
02/22/2021
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