Organization
BRUCE A MARSHALL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A MARSHALL M.D. (OWNER)
(864) 833-1978
Entity
Organization
Contact information
Practice address
104 MEDICAL PARK CT, CLINTON, SC 29325-7537
(864) 833-1978
(864) 833-7688
Mailing address
PO BOX 663, CLINTON, SC 29325-0663
(864) 833-1978
(864) 833-7688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095453
—
SC
Enumeration date
11/01/2007
Last updated
11/29/2011
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