Individual
TIMOTHY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 HOSPITAL CENTER BLVD STE 306, HILTON HEAD ISLAND, SC 29926-2739
(843) 689-8224
Mailing address
203 MIDFIELD CIRCLE DR, MC DONALD, PA 15057-2379
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1131902
PA
Other
Enumeration date
08/30/2016
Last updated
04/22/2019
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