Individual
DR. MARVIN ANTHONY HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4101 ROSWELL RD, SUITE 905, MARIETTA, GA 30062-6293
(770) 565-3970
Mailing address
4101 ROSWELL RD, SUITE 905, MARIETTA, GA 30062-6293
(770) 565-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002629
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT002629
GA
152WP0200X
Pediatric Optometrist
OPT002629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125145C
—
GA
Enumeration date
07/02/2008
Last updated
11/17/2016
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