Individual
MARION MCCAULEY EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5115 NEW PEACHTREE RD, SUITE 202, CHAMBLEE, GA 30341-3326
(678) 672-2177
Mailing address
2650 GENTRY WALK CT, CUMMING, GA 30041-7484
(770) 722-1940
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003245
GA
Other
Enumeration date
06/17/2006
Last updated
03/23/2011
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