Individual
ISABELLE LOUREIRO MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Mailing address
158 HOLDEN WAY, WOODSTOCK, GA 30189-1107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11279
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
03/23/2026
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