Healthcare Provider Details

I. General information

NPI: 1881811719
Provider Name (Legal Business Name): STEPHEN SAUNDERS MARSH M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 POPLARWOOD CT ST. 114
RALEIGH NC
27604-1009
US

IV. Provider business mailing address

1621 PEARCES RD
ZEBULON NC
27597-7826
US

V. Phone/Fax

Practice location:
  • Phone: 919-877-9959
  • Fax: 919-235-0770
Mailing address:
  • Phone: 919-269-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberBM1039076
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: