BRENDA L MARINO MD NPI 1023059581

NPI Information

NPI: 1023059581
Provider Name: BRENDA L MARINO, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
677 CHURCH ST
HOSPITAL BASED ONLY KENNESTONE WELLSTAR
MARIETTA, GA
ZIP 30060
Phone: (770) 779-3603
Get Directions

Brenda L Marino, MD is a neonatal-perinatal medicine pediatrics in Marietta, GA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Brenda L Marino, MD NPI is 1023059581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

677 CHURCH ST
HOSPITAL BASED ONLY KENNESTONE WELLSTAR
MARIETTA, GA
ZIP 30060
Phone: (770) 779-3603
Fax: (770) 793-9925

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	016392	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00088646B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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