Individual
MICHAEL J. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 HALTON RD, GREENVILLE, SC 29607-3509
(864) 454-2700
(864) 288-5082
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83810
SC
208600000X
Surgery Physician
OP60591635
WA
208D00000X
General Practice Physician
OP60591635
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2013
Last updated
05/01/2024
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