Individual
DR. THOMAS ELLIOTT MARSHALL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
378 SAVANNAH AVE, STATESBORO, GA 30458-5163
(912) 764-4403
Mailing address
12 FAIRWAY DR, STATESBORO, GA 30458-9110
(912) 690-2986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014641
GA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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