# MARIETTA MEDICAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1508051244
- **Authorized official:** YOAN M CRUZ (PRESIDENT/OWNER)
- **Authorized official phone:** (404) 630-9957

## Contact information

- **Practice address:** 445 WINDY HILL RD SE, SUITE 200, MARIETTA, GA 30060-7342
- **Practice address phone:** (770) 431-9533
- **Practice address fax:** (770) 431-9535
- **Mailing address:** 445 WINDY HILL RD SE, SUITE 200, MARIETTA, GA 30060-7342
- **Mailing address phone:** (770) 431-9533
- **Mailing address fax:** (770) 431-9535

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 09/06/2007