Individual
DR. CHARLES MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE DEPT OF, ATLANTA, GA 30308-2247
(404) 712-4843
(404) 712-7435
Mailing address
170 AMSTERDAM AVE APT 20B, NEW YORK, NY 10023-5076
(443) 831-7942
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
84780
GA
207UN0901X
Nuclear Cardiology Physician
84780
GA
207UN0902X
Nuclear Imaging & Therapy Physician
84780
GA
2085R0202X
Diagnostic Radiology Physician
84780
GA
Other
Enumeration date
04/01/2015
Last updated
06/03/2024
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