Individual
TED H MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12828
SC
208M00000X
Hospitalist Physician
Primary
12828
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121285
—
SC
Enumeration date
04/07/2006
Last updated
11/09/2020
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