Individual
DR. MARIE MYRTHA SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 MORNINGSIDE DRIVE, PERRRY, GA 31088
(478) 988-1627
Mailing address
500 ARBOR LN, CENTERVILLE, GA 31028-8606
(478) 714-8667
(478) 225-9720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
058007
GA
Other
Enumeration date
10/05/2006
Last updated
11/09/2009
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