Individual provider · Type 1 NPI

Timothy Gerald Marine, PA-C

Physician Assistant · Raleigh, NC

NPI number 1831772771 Active

Practice location

4420 Lake Boone Trl Ste 203
Raleigh, NC 27607-7505

Call (919) 784-2930 Map

Fax (919) 784-2929

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice locations

  • 2196 Nc Highway 42 W, Clayton, NC 27520-8343 · (919) 220-5255
  • 100 Kellie Dr, Smithfield, NC 27577-9444 · (919) 220-5255

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-11115 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831772771

Timothy Gerald Marine, PA-C's National Provider Identifier is 1831772771, issued on Apr 29, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 2, 2026.