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NPI Code Detail

MEDICARE: DR. MARILYN DIANNE MARSHALL MD

MEDICARE:  DR. MARILYN DIANNE 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
1207Q00000XFamily Medicine PhysicianMD.13125RLA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15E884OTHERLAMEDICARE
2P01169073OTHERLAMEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MD.13125ROTHERLASTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1467446161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILYN DIANNE MARSHALL MD
Provider Business Mailing Address
First Line : 800 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5239
Country : US
Telephone Number : 337-517-6387
Fax Number :
Provider Business Practice Location Address
First Line : 800 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5239
Country : US
Telephone Number : 337-893-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 03/17/2018

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Directions to “ DR. MARILYN DIANNE MARSHALL MD” Practice Location

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