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Individual

DR. MARILYN DIANNE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 CHARITY ST, ABBEVILLE, LA 70510-5239
(337) 893-3443
Mailing address
800 CHARITY ST, ABBEVILLE, LA 70510-5239
(337) 517-6387

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.13125R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1554715
LA
01
5E884
MEDICARE
LA
01
MD.13125R
STATE MEDICAL LICENSE
LA
01
P01169073
MEDICARE RAILROAD PROVIDER NUMBER
LA
Enumeration date
09/08/2005
Last updated
03/17/2018
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