Individual
EDWIN KIM MARSHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10650 PARK RD, STE 480, CHARLOTTE, NC 28210-8538
(704) 667-0520
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03669
NC
363A00000X
Physician Assistant
2519
SC
Other
Enumeration date
02/21/2007
Last updated
10/23/2024
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