Doctor Name: | DR. JOHN EVERETT MARSHALL |
NPI Number: | 1023100526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 39646 |
Business Practice Address: | 104 Lincoln Medical Park Lincolnton, NC - 280924402 |
Business Phone Number: | 7047354445 |
Business Fax Number: | 7047354060 |
Mailing Address: | 104 Lincoln Medical Park, 1446 Gaston St. LINCOLNTON |
State: | NC |
Postal Code: | 280924402 |
Phone Number: | 7047354445 |
Fax Number: | 7047354060 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 39646 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |