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MR. MARSHALL EDWARD PUTNAM PA-C
NPI 1962459404
Physician Assistant - Medical in Fayetteville, NC

Active since May 30, 2006
217 GLENSFORD DR, FAYETTEVILLE, NC 28314(910) 483-4647(910) 483-6431 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Marshall Edward Putnam Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARSHALL EDWARD PUTNAM PA-C (NPI 1962459404) is an individual medical provider in Fayetteville, North Carolina, licensed in North Carolina (103249) and active in the NPI registry since May 2006. He maintains a secondary practice location in Wilson.

NPPES Registry Identity

NPI1962459404
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARSHALL EDWARD PUTNAMCredential: PA-C
Location Address217 GLENSFORD DRFayetteville, NC 28314-0892
Mailing Address165 Ruth CirFuquay Varina, NC 27526-4209 · (919) 818-4755
Phone(910) 483-4647
Fax(910) 483-6431
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 10, 2019
✔ NPI 1962459404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103249
Also ListedPhysician AssistantTaxonomy 363A00000X · License 103249 (NC)
217 GLENSFORD DR, Fayetteville, NC 28314
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Secondary Practice Location 1

Location 11705 Tarboro St SWWilson, NC 27893-3428 · Phone (252) 399-8040

Other Identifiers 1

Medicaid8102360NC

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYTCARE LLC
Physical Medicine & Rehabilitation
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (800) 849-5609
VERONICA BAAH FNP
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (540) 373-2424
MATRIX OCCUPATIONAL HEALTH P.C.
Clinic/Center (Urgent Care)
217 GLENSFORD DR, SUITE A
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647
JASON MICHAEL PLYMALE PA-C
Physician Assistant
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647
MRS. JANE LINGAO PUNZALAN NP-C
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647
TONYA WAE BROWN FNP
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647
MATRIX OCCUPATIONAL HEALTH, P.C.
Clinic/Center (Urgent Care)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647
LAUREN KENDALL SHARP FNP
Nurse Practitioner (Family)
217 GLENSFORD DR
FAYETTEVILLE, NC 28314
Cumberland County (910) 483-4647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Putnam's NPI number?

The NPI number for Marshall Putnam is 1962459404. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Marshall Putnam located?

Marshall Putnam practices at 217 Glensford Dr, Fayetteville, NC 28314. The listed phone number is (910) 483-4647.

What is Marshall Putnam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Marshall Putnam was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.