MARIETTA HEALTHCARE LLC NPI 1447440524

NPI Information

NPI: 1447440524
Provider Name: MARIETTA HEALTHCARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2551 ROSWELL RD
SUITE 415
MARIETTA, GA
ZIP 30062
Phone: (770) 565-2882
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MARIETTA HEALTHCARE LLC is a general practice in Marietta, GA. MARIETTA HEALTHCARE LLC NPI is 1447440524. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2551 ROSWELL RD
SUITE 415
MARIETTA, GA
ZIP 30062-762
Phone: (770) 565-2882
Fax: (770) 439-0297

The provider's authorized official is Dana Y Paine .
The authorized official title is Office Manager and has the following contact phone number (770) 439-0198.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

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	208D00000X	General Practice			GEORGIA	Yes

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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