# MARIETTA NEWBORN CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083871339
- **Authorized official:** MRS. PATRICIA B HUNT NP (OWNER)
- **Authorized official phone:** (770) 235-2462

## Contact information

- **Practice address:** 50 PLAZA WAY, SUITE E, MARIETTA, GA 30060
- **Practice address phone:** (404) 454-9716
- **Practice address fax:** (770) 793-9260
- **Mailing address:** 4295 COUNTRY GARDEN WALK, KENNESAW, GA 30152
- **Mailing address phone:** (770) 235-2462
- **Mailing address fax:** (770) 974-3955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | R065909 | GA | Yes |
| 364SN0000X | Neonatal Clinical Nurse Specialist | R047729 | GA | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 03/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000585494B | — | GA |
| 05 | — | 000585505B | — | GA |