Individual
MARJORIEI PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA, HEALTHCARE MAN
Contact information
Practice address
480 GROVE PARK DR, LOCUST GROVE, GA 30248-4573
(404) 834-9934
Mailing address
480 GROVE PARK DR, LOCUST GROVE, GA 30248-4573
(404) 834-9934
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
25024448
GA
Other
Enumeration date
03/10/2025
Last updated
11/16/2025
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