| Daniel P Marshall Md | |
|
515 N Highland St Memphis TN 38122-4572 | |
| (901) 323-1200 | |
| (901) 452-6823 |
| Full Name | Daniel P Marshall Md |
|---|---|
| Speciality | General Practice |
| Location | 515 N Highland St, Memphis, Tennessee |
| Authorized Official Name and Position | Daniel Payne Marshall (OWNER) |
| Authorized Official Contact | 9013231200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Marshall Md 515 N Highland St Memphis TN 38122-4572 Ph: (901) 323-1200 | Daniel P Marshall Md 515 N Highland St Memphis TN 38122-4572 Ph: (901) 323-1200 |
| NPI Number | 1346419454 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 7315114097 |
|---|---|
| Medicare Enrollment ID | O20120120000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346419454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD0000009649 (Tennessee) | Primary |
| Provider Name | Anne Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568652733 PECOS PAC ID: 3375851017 Enrollment ID: I20150930001492 |
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