Individual
GREGORY S MARLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4622 COUNTRY CLUB RD STE 180, WINSTON SALEM, NC 27104-3770
(336) 768-9535
(336) 768-4155
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 768-9535
(336) 768-4155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0050-01450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194977
MEDCOST
NC
05
—
7004523
—
NC
Enumeration date
10/31/2006
Last updated
07/21/2022
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