Individual
RAMON R MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6911 TARA BLVD # A, JONESBORO, GA 30236-1503
(770) 477-8573
(770) 477-9045
Mailing address
6911 TARA BLVD # A, JONESBORO, GA 30236-1503
(770) 477-8573
(770) 477-9045
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
020458
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033953
AMERIGROUP
GA
Enumeration date
03/23/2007
Last updated
07/08/2007
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