Mr Edward Albert Marshall Jr, ATC, LAT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Wingate, North Carolina. Mr Edward Albert Marshall Jr is licensed to practice in North Carolina (license number LAT-4304) and his current practice location is 224 East Wilson Street, Wingate, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 233-8165.
NPI number for Mr Edward Albert Marshall Jr is 1275188484 and his current mailing address is 3001 Alice Flagg Ln Apt 207, Indian Trail, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275188484.
Physician's Profile
Full Name | Mr Edward Albert Marshall Jr |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 224 East Wilson Street, Wingate, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275188484
- Provider Enumeration Date: 08/05/2019
- Last Update Date: 09/17/2020
Medical Identifiers
Medical identifiers for Mr Edward Albert Marshall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275188484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | LAT-4304 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward Albert Marshall Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Edward Albert Marshall Jr, ATC, LAT 3001 Alice Flagg Ln Apt 207, Indian Trail, NC 28079-8415 Ph: (757) 642-8949 | Mr Edward Albert Marshall Jr, ATC, LAT 224 East Wilson Street, Wingate, NC 28174 Ph: (704) 233-8165 |
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