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Organization
MARIETTA NEUROLOGY AND HEADACHE CENTER, PC
Active
Organization
MARIETTA NEUROLOGY AND HEADACHE CENTER, PC
Active
Other names
Marietta Neurological Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M HOLMES MD (MD MANAGING PARTNER)
(770) 422-3602
Entity
Organization
Contact information
Practice address
780 CANTON RD, STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6115
Mailing address
780 CANTON RD, STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6115
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
12/08/2005
Last updated
06/07/2013
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