Individual
MARISSA BENN LAPEDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 W PEACHTREE ST NW STE 200A, ATLANTA, GA 30309
(404) 575-2000
(404) 575-2001
Mailing address
1800 PEACHTREE ST NW STE 800, ATLANTA, GA 30309-2512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
080674
GA
207Q00000X
Family Medicine Physician
Primary
80674
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2015
Last updated
09/20/2018
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