MS. CARMELLA CHARMAYNE MARSHALL


Address: 1880 Quiet Cv, Fayetteville, NC 28304-3857
Phone: 9103232477

MS. CARMELLA CHARMAYNE MARSHALL (NPI# 1730417262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730417262
Entity Type Individual
Full Name MS. CARMELLA CHARMAYNE MARSHALL
Credential PA-C
Practice Address 1880 Quiet Cv
Fayetteville
NC 28304-3857
Mailing Address Po Box 87388
Fayetteville
NC 28304-7388
Practice Telephone 9103232477
Practice Fax Number 9103233951
Mailing Telephone 9103232477
Mailing Fax Number 9103235931
Enumeration Date 2009-11-20
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-05753 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
C0004211 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1730417262 05

Office Location

Street Address 1880 QUIET CV
City FAYETTEVILLE
State NC
Zip Code 28304-3857

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306599 Cape Fear Center for Digestive Diseases, Pa Specialist 1880 Quiet Cv, Fayetteville, NC 28304-3857 2005-06-20
1750926069 Samantha Hall Nurse Practitioner 1880 Quiet Cv, Fayetteville, NC 28304-3857 2019-11-11
1013562982 Rachel Catherine Kellomaki Physician Assistant 1880 Quiet Cv, Fayetteville, NC 28304-3857 2019-08-07
1790211787 Hannah Lisa Garehan Physician Assistant 1880 Quiet Cv, Fayetteville, NC 28304-3857 2017-05-11
1376082040 Lance William Harris Physician Assistant 1880 Quiet Cv, Fayetteville, NC 28304-3857 2017-02-15
1609239672 Laura Lanier Nurse Practitioner 1880 Quiet Cv, Fayetteville, NC 28304-3857 2016-03-29
1437521838 Tilani Nadeau Physician Assistant 1880 Quiet Cv, Fayetteville, NC 28304-3857 2015-10-24
1659618791 Staci Marie Pessetti Physician Assistant 1880 Quiet Cv, Fayetteville, NC 28304-3857 2013-01-09
1104179720 Lindsay B Tart Nurse Practitioner 1880 Quiet Cv, Fayetteville, NC 28304-3857 2012-10-19
1639421027 Meaghan E Eddy Nurse Practitioner 1880 Quiet Cv, Fayetteville, NC 28304-3857 2012-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245860618 Robert Maughan Physician Assistant 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 2020-01-24
1578050480 Marlee Anne Fallon Physician Assistant 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 2018-04-16
1285149781 Rebecca Anderson Physician Assistant 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 2017-12-06
1750807186 Julia Niemi Physician Assistant 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 2017-08-17
1548709991 Pallavi Annamaneni Physician Assistant 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 2017-02-17
1124457650 Amanda Warden Physician Assistant 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 2013-11-05
1639473739 Andrea Bethauser Physician Assistant 918 Hope Mills Rd, Fayetteville, NC 28304-4243 2011-01-04
1891928941 Gladys Maria Rivero Physician Assistant 3450 Sandystone Cir, Fayetteville, NC 28311-2503 2009-08-24
1366524092 Lisa Aldrin Rojeski Physician Assistant 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 2006-10-20
1902829039 Michael John Winn Physician Assistant 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 2006-07-26
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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