# MARIETTA HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1447440524
- **Authorized official:** DANA Y PAINE (OFFICE MANAGER)
- **Authorized official phone:** (770) 439-0198

## Contact information

- **Practice address:** 2551 ROSWELL RD, SUITE 415, MARIETTA, GA 30062-4762
- **Practice address phone:** (770) 565-2882
- **Practice address fax:** (770) 439-0297
- **Mailing address:** 2551 ROSWELL RD, SUITE 415, MARIETTA, GA 30062-4762
- **Mailing address phone:** (770) 565-2882
- **Mailing address fax:** (770) 439-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | GA | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007