Individual
DR. PHILLIP EDWARD MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1335 E CENTER ST, KINGSPORT, TN 37664-2489
(423) 247-5125
Mailing address
1357 CATAWBA ST, KINGSPORT, TN 37660-4507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9314
TN
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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