# MARNIE A SOSNOVSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023060134
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 002535 | GA | Yes |
| 363AM0700X | Medical Physician Assistant | 002535 | GA | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10038153 | AMERIGROUP | GA |
| 01 | — | 11100 | BLUE CROSS BLUE SHIELD | GA |
| 01 | — | 333584 | WELLCARE | GA |
| 05 | — | 771879398 | — | GA |
| 05 | — | 771879398A | — | GA |
| 05 | — | 771879398B | — | GA |