Healthcare Provider Details

I. General information

NPI: 1528443231
Provider Name (Legal Business Name): YING MARSHALL MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2015
Last Update Date: 07/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 QUAKER LN 100C
HIGH POINT NC
27262-3832
US

IV. Provider business mailing address

1002 S EUGENE ST
GREENSBORO NC
27406-1308
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003959
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: