Individual
DAMON ROBERT DENZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
61 WHITCHER ST NE, SUITE 4100, MARIETTA, GA 30060-1176
(770) 590-4180
(770) 590-4187
Mailing address
872 DEVONWOOD TRL NW, MARIETTA, GA 30064-5440
(678) 687-0229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003577
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002309A
—
GA
Enumeration date
11/08/2006
Last updated
11/06/2019
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