Bruce A Marshall Md Pa

LBN: Bruce A Marshall Md Pa
Bruce A Marshall Md Pa is an health care organization with primary practice located at 104 Medical Park Ct , Clinton SC 29325-7537. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bruce A Marshall Md Pa can be contacted via phone (864) 833-1978, or through Marshall, Bruce A via phone (864) 833-1978.

Contact Information

Primary practice address
104 Medical Park Ct Clinton SC 29325-7537
Fax: (864) 833-7688
Website:
Authorized official contact:
Name: Marshall, Bruce A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9545 South Carolina

Profile Details

NPI number 1356520746
LBN Legal business name Bruce A Marshall Md Pa
DBA Doing business as
Authorized official Marshall, Bruce A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 29th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356520746 NPPES
South Carolina MEDICAID 095453

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