Individual
TIMOTHY MICHAEL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-1110
(843) 792-0269
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-0269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.077140
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
89687
SC
Other
Enumeration date
03/30/2020
Last updated
05/09/2023
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