Individual
MR. GREGORY MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-7529
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1641
NC
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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