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Contact Information

TARENA MARSHALL, LAT, ATC
403 MAIN ST
GRAMBLING, LA71245-2715
 Phone: 601-382-5170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TARENA MARSHALL · (Female)

NPI Number 1730873753
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 06/05/2023
Last updated 06/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 320938
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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