Individual
LANDRY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1775 FORRESTAL DR BLDG 33, NORFOLK, VA 23551-0001
(910) 459-9752
Mailing address
111 PAMLICO DR, HOLLY RIDGE, NC 28445-8800
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
03/02/2026
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