MEDICARE: ADAM GREGORY MARSHALL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer
2	363A00000X	Physician Assistant	335428	LA

General Provider Information

NPI Number	:	1255826194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM GREGORY MARSHALL PA

Provider Business Mailing Address
First Line	:	8080 BLUEBONNET BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-924-2424
Fax Number	:	225-408-7980

Provider Business Practice Location Address
First Line	:	8080 BLUEBONNET BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-924-2424
Fax Number	:	225-408-7980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2018
Last Update Date	:	01/07/2026

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Directions to “ ADAM GREGORY MARSHALL PA” Practice Location

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