Individual
DR. TIMOTHY LEROY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 NEWMARKET SQ, NEWPORT NEWS, VA 23605-2721
(757) 825-8030
(757) 847-9149
Mailing address
48 NEWMARKET SQ, NEWPORT NEWS, VA 23605-2721
(757) 825-8030
(757) 847-9149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101029169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007284
BLUE CROSS/BLUE SHEILD
VA
01
—
12873
OPTIMA
VA
01
—
22678597
TRICARE
VA
01
—
266683
MDIPA
VA
05
—
6059279
—
VA
Enumeration date
08/31/2006
Last updated
02/08/2023
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