# MRM MEDICAL GROUP

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

## Provider details

- **NPI number:** 1801481882
- **Authorized official:** RANDY HERFIELD (CEO)
- **Authorized official phone:** (561) 704-6781

## Contact information

- **Practice address:** 1640 POWERS FERRY RD BUILDING 15 SUITE 200, MARIETTA, GA 30067-2067
- **Practice address phone:** (561) 704-6781
- **Practice address fax:** (561) 209-0868
- **Mailing address:** 4060 ARTESA DR, BOYNTON BEACH, FL 33436-2628
- **Mailing address phone:** (561) 704-6781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 08/16/2021