Individual provider · Type 1 NPI

Marshall Edward Putnam, PA-C

Medical Physician Assistant · Fayetteville, NC

NPI number 1962459404 Active

Practice location

217 Glensford Dr
Fayetteville, NC 28314-0892

Call (910) 483-4647 Map

Fax (910) 483-6431

Mailing address

165 Ruth Cir
Fuquay Varina, NC 27526-4209

Other practice locations

  • 1705 Tarboro St SW, Wilson, NC 27893-3428 · (252) 399-8040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X103249 (NC)
Medical Physician Assistant Primary 363AM0700X103249 (NC)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1962459404

Marshall Edward Putnam, PA-C's National Provider Identifier is 1962459404, issued on May 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 10, 2019.