Provider Demographics
NPI:1881811719
Name:MARSH, STEPHEN SAUNDERS (M D)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SAUNDERS
Last Name:MARSH
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 PEARCES RD
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-7826
Mailing Address - Country:US
Mailing Address - Phone:919-269-6588
Mailing Address - Fax:
Practice Address - Street 1:3117 POPLARWOOD CT
Practice Address - Street 2:ST. 114
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1009
Practice Address - Country:US
Practice Address - Phone:919-877-9959
Practice Address - Fax:919-235-0770
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBM1039076207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCEO2474Medicare UPIN