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NPI Code Detail

MEDICARE: DR. MARSHALL GRANT SIGMON PT, DPT, ATC

MEDICARE:  DR. MARSHALL GRANT SIGMON  PT, DPT, ATC
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
1225100000XPhysical Therapist17727NC

General Provider Information

NPI Number : 1952807976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHALL GRANT SIGMON PT, DPT, ATC
Provider Business Mailing Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-7800
Fax Number : 704-824-2822
Provider Business Practice Location Address
First Line : 13024 EASTFIELD RD STE A600
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-6604
Country : US
Telephone Number : 980-288-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 03/30/2018

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Directions to “ DR. MARSHALL GRANT SIGMON PT, DPT, ATC” Practice Location

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