Individual
GERAMY M. MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TE
BLUE CROSS GROUP BILLING NUMBER
NC
Enumeration date
02/06/2007
Last updated
09/27/2012
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