Provider Demographics
NPI:1174340335
Name:MARSHALL, CHRISTOPHER R (PA-C)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:R
Last Name:MARSHALL
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4504 CHERRY BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6599
Mailing Address - Country:US
Mailing Address - Phone:912-655-9769
Mailing Address - Fax:
Practice Address - Street 1:162 LEGACY OAKS DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6556
Practice Address - Country:US
Practice Address - Phone:919-373-1800
Practice Address - Fax:919-373-1830
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant