Organization
JOHN T. MARSHALL M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TALMADGE MARSHALL SR. M.D (MEDICAL DIRECTOR)
(804) 862-3333
Entity
Organization
Contact information
Practice address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 862-3333
(804) 862-3398
Mailing address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 862-3333
(804) 862-3398
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101037608
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010146976
—
VA
Enumeration date
03/07/2007
Last updated
06/10/2008
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