Mr. Edward Albert Marshall JR.
Sports Medicine
224 East Wilson Street
Wingate
, North Carolina 28174
Mr. Edward Albert Marshall JR.
Sports Medicine
224 East Wilson Street
Wingate
, North Carolina 28174
(757) 642-8949
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mr. Edward Albert Marshall JR.
- 3001 Alice Flagg Ln Apt 207
- Indian Trail, NC
- Zip : 28079-8415
- Phone : (757) 642-8949
Second Address
- Mr. Edward Albert Marshall JR.
- 224 East Wilson Street
- Wingate, NC
- Zip : 28174
- Phone : (704) 233-8165
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | LAT-4304 | NC |
| Y | 213ES0000X | Sports Medicine | LAT-4304 | NC |
National Provider Identifier
| NPI | 1275188484 |
|---|---|
| Provider Name | Mr. Edward Albert Marshall JR. |
| First Address | Indian Trail, NC 28079-8415 |
| Second Address | Wingate, NC 28174 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2019 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.