Basic Information
Provider Information
NPI: 1881811719
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARSH
FirstName: STEPHEN
MiddleName: SAUNDERS
NamePrefix: DR.
NameSuffix:  
Credential: M. D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1621 PEARCES RD
Address2:  
City: ZEBULON
State: NC
PostalCode: 275977826
CountryCode: US
TelephoneNumber: 9192696588
FaxNumber:  
Practice Location
Address1: 3117 POPLARWOOD CT
Address2: ST. 114
City: RALEIGH
State: NC
PostalCode: 276041009
CountryCode: US
TelephoneNumber: 9198779959
FaxNumber: 9192350770
Other Information
ProviderEnumerationDate: 04/20/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QH0002XBM1039076NCY Allopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine

No ID Information.


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