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Organization

MARIETTA NEUROLOGY AND HEADACHE CENTER, PC

Active
Other names
Marietta Neurological Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS M HOLMES MD (MD MANAGING PARTNER)
(770) 422-3602
Entity
Organization

Contact information

Practice address
780 CANTON RD, STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6115
Mailing address
780 CANTON RD, STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6115

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary

Other

Enumeration date
12/08/2005
Last updated
06/07/2013
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