Individual
MR. EDWARD ALBERT MARSHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
224 EAST WILSON STREET, WINGATE, NC 28174
(704) 233-8165
Mailing address
3001 ALICE FLAGG LN APT 207, INDIAN TRAIL, NC 28079-8415
(757) 642-8949
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
LAT-4304
NC
Other
Enumeration date
08/05/2019
Last updated
09/17/2020
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