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Individual

KATHY ANN MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
137 MEDICAL LN, POLLOCKSVILLE, NC 28573-8200
(252) 633-1010
(252) 224-3071
Mailing address
PO BOX 602522, CHARLOTTE, NC 28260-2522
(252) 633-1010
(252) 224-3071

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2009-00307
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158J
BCBSNC
NC
05
5911115
NC
Enumeration date
06/22/2006
Last updated
05/16/2014
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