Healthcare Provider Details

I. General information

NPI: 1346877685
Provider Name (Legal Business Name): DAVID MARSELLES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

IV. Provider business mailing address

203 PANAMA TER
MOREHEAD CITY NC
28557-2625
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4000
  • Fax:
Mailing address:
  • Phone: 484-225-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-04525
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: