IndividualActive
Edward Marshall, ATC, LAT
NPI 1275188484 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Wingate, NC
Provider details
- NPI number
- 1275188484
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- LAT-4304 (NC)
Mailing address
3001 Alice Flagg Ln Apt 207
Indian Trail, NC 28079-8415
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.