Healthcare Provider Details

I. General information

NPI: 1417577180
Provider Name (Legal Business Name): MARINA EHAB GUIRGUIS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARINA GUIRGUIS DO

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 CARTHAGE ST
SANFORD NC
27330-8984
US

IV. Provider business mailing address

1303 CARTHAGE ST
SANFORD NC
27330-8984
US

V. Phone/Fax

Practice location:
  • Phone: 919-292-2468
  • Fax: 919-292-2167
Mailing address:
  • Phone: 919-292-2468
  • Fax: 919-292-2167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number260862
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: