Individual
DR. EUGENE RICHARD MARNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 13TH ST, SUITE 250, AUGUSTA, GA 30901-1015
(706) 774-5000
(706) 823-5928
Mailing address
1125 TROUPE ST, P.O. BOX 3129, AUGUSTA, GA 30914-3129
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
047800
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
047800
GA
2085N0700X
Neuroradiology Physician
047800
GA
2085N0904X
Nuclear Radiology Physician
047800
GA
2085P0229X
Pediatric Radiology Physician
047800
GA
2085R0202X
Diagnostic Radiology Physician
047800
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
047800
GA
2085U0001X
Diagnostic Ultrasound Physician
047800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346357217
NPI - VASCULAR RADIOLOGY
—
05
—
610062310A
—
GA
05
—
610062310B
—
GA
05
—
610062310C
—
GA
05
—
G47800
—
SC
Enumeration date
04/21/2006
Last updated
10/31/2013
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