Staton, Marshall A

Staton, Marshall A is an individual health care provider with primary practice located at 1601 N Oak St Suite 206 Myrtle Offices, Myrtle Beach SC 29577-3579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Staton, Marshall A can be contacted via phone (843) 448-2824.

Contact Information

Primary practice address
1601 N Oak St Suite 206 Myrtle Offices Myrtle Beach SC 29577-3579
Phone: (843) 448-2824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7368 South Carolina

Profile Details

NPI number 1780635292
LBN Legal business name Staton, Marshall A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780635292 NPPES
South Carolina MEDICAID PA315-7

Popular Providers