Individual
TARA LYNN MARCHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
5701 SULLIVAN POINT DR, POWDER SPRINGS, GA 30127-8453
(678) 549-8908
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2057
GA
Other
Enumeration date
08/17/2015
Last updated
08/27/2019
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