Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 060933 | GA |
Y | 207X00000X | Orthopaedic Surgeon | 2011-00346 | NC |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2011-00346 | NC |
NPI | 1235399460 |
---|---|
Provider Name | Dr. James Thomas Marino |
First Address | West End, NC 27376-8871 |
Second Address | Pinehurst, NC 28374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 02/12/2019 |