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1831772771
TIMOTHY GERALD MARINE
WHITEVILLE, NC
NPI
1831772771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11115)
Enumeration Date
2021-04-29
Last Update Date
2024-07-15
Business Address
TIMOTHY GERALD MARINE PA
320 JEFFERSON ST
WHITEVILLE, NC 28472-3602
Phone number: 910-642-5832
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Mailing Address
TIMOTHY GERALD MARINE PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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