Individual
DWAYNE C MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1403C YANCEYVILLE ST, GREENSBORO, NC 27405-6931
(336) 272-5155
(336) 275-8530
Mailing address
1403C YANCEYVILLE ST, GREENSBORO, NC 27405-6931
(336) 272-5155
(336) 275-8530
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795088
—
NC
Enumeration date
03/30/2007
Last updated
09/11/2025
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