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Individual

DUSTIN COLE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
PRISMA HEALTH MEDICAL GROUP FAMILY MEDICINE CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Mailing address
PRISMA HEALTH MEDICAL GROUP FAMILY MEDICINE CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL86289
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2021
Last updated
07/28/2021
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