Individual
DR. RANDALL DAVID MAROSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 SUMMIT CROSSING PL, SUITE 306, GASTONIA, NC 28054-2104
(704) 671-7830
(704) 671-7835
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
28683
SC
207RI0200X
Infectious Disease Physician
Primary
38130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1016
—
SC
Enumeration date
09/29/2005
Last updated
08/29/2023
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