Individual
MR. SAMUEL MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5881 GLENRIDGE DR STE 120, ATLANTA, GA 30328-8184
(404) 303-7703
(404) 303-7706
Mailing address
5881 GLENRIDGE DR STE 120, ATLANTA, GA 30328-8184
(404) 303-7703
(044) 303-7706
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2863
GA
Other
Enumeration date
10/10/2007
Last updated
12/11/2019
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