Provider Demographics
NPI:1336502863
Name:MARCUARD, MAURICE SHAWN (MD)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:SHAWN
Last Name:MARCUARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 WH SMITH BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3761
Mailing Address - Country:US
Mailing Address - Phone:252-758-8181
Mailing Address - Fax:
Practice Address - Street 1:704 WH SMITH BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3761
Practice Address - Country:US
Practice Address - Phone:252-758-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101266680207R00000X
NJ25MA10823600207R00000X
NC2023-01859207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine