MEDICARE: ANTHONY JOHN MAROIS 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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	2023-02358	NC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1871082925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY JOHN MAROIS MD

Provider Business Mailing Address
First Line	:	2165 MEDICAL PARK DR
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-8809
Country	:	US
Telephone Number	:	828-459-6824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 TERRELL PARK DR STE 101
Second Line	:
City	:	SHERRILLS FORD
State	:	NC
Zip	:	28673-9509
Country	:	US
Telephone Number	:	828-580-1331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2018
Last Update Date	:	12/14/2024

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