# MRS. MARCIE M ALISANGCO

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

## Provider details

- **NPI number:** 1225222680
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 63756 | GA | — |
| 207RR0500X | Rheumatology Physician | 063756 | GA | Yes |
| 207RR0500X | Rheumatology Physician | 92696 | SC | — |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 03/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 063756 | GEORGIA COMPOSITE BOARD | GA |