Individual
GAIL S MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC PHD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7840782
AETNA
—
01
—
94672
MEDCOST
NC
Enumeration date
12/15/2005
Last updated
08/05/2010
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