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Organization
MARIETTA HEALTHCARE LLC
Active
Organization
MARIETTA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA Y PAINE (OFFICE MANAGER)
(770) 439-0198
Entity
Organization
Contact information
Practice address
2551 ROSWELL RD, SUITE 415, MARIETTA, GA 30062-4762
(770) 565-2882
(770) 439-0297
Mailing address
2551 ROSWELL RD, SUITE 415, MARIETTA, GA 30062-4762
(770) 565-2882
(770) 439-0297
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
GA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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