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NPI Code Detail

MEDICARE: ALBERT W MARR MD

MEDICARE: ALBERT W MARR 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 Physician009500994NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1009500994OTHERNCMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063413243
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT W MARR MD
Provider Business Mailing Address
First Line : 2716 ASHTON DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2489
Country : US
Telephone Number : 910-332-3800
Fax Number : 910-251-0421
Provider Business Practice Location Address
First Line : 2716 ASHTON DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2489
Country : US
Telephone Number : 910-332-3800
Fax Number : 910-251-0421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/18/2012

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