Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marshall Edward Putnam, PA-C

Individual provider Physician Assistant · NPI 1962459404

Mr. Marshall Edward Putnam, PA-C is a Physician Assistant in Fayetteville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone: (910) 483-4647
Fax: (910) 483-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1705 Tarboro St Sw, Wilson, NC 27893-3428 — (252) 399-8040

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 103249 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 103249 (NC)

Record details

NPI number1962459404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

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