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NPI Code Detail

MEDICARE: MR. MICHAEL C MARSHALL MD

MEDICARE: MR. MICHAEL C MARSHALL 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
1207RP1001XPulmonary Disease Physician13967SC

General Provider Information

NPI Number : 1326026287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL C MARSHALL MD
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2728 SUNSET BLVD STE 104
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4838
Country : US
Telephone Number : 803-256-0464
Fax Number : 803-254-5121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 11/09/2020

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