Individual
DR. MARY JANE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
525 N TRYON ST, SUITE 1600, PMB 209, CHARLOTTE, NC 28202-0202
(252) 338-1195
Mailing address
PO BOX 2581, ELIZABETH CITY, NC 27906-2581
(252) 338-1195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4373
NC
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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