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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH MARCEL JR. MD

MEDICARE: DR. JOHN JOSEPH MARCEL JR. MD
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
1207X00000XOrthopaedic Surgery Physician2018-00469NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487910832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH MARCEL JR. MD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4741 RANDOLPH RD STE 100&200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2919
Country : US
Telephone Number : 704-365-6730
Fax Number : 704-365-6731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2012
Last Update Date : 05/26/2026

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