# MARIETTA GYNECOLOGIC ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1720165202
- **Authorized official:** MS. KAREN E LINES (PRACTICE ADMINSTRATOR)
- **Authorized official phone:** (740) 374-3622

## Contact information

- **Practice address:** 410 2ND ST, MARIETTA, OH 45750-2115
- **Practice address phone:** (740) 374-3622
- **Practice address fax:** (740) 374-4209
- **Mailing address:** 410 2ND ST, MARIETTA, OH 45750-2115
- **Mailing address phone:** (740) 374-3622
- **Mailing address fax:** (740) 374-4209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | N/A | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | N/A | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/22/2008