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Individual

MARCELLE M. OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(678) 985-2000
(678) 985-1999
Mailing address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(678) 985-2000
(678) 985-1999

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
040183
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00673571B
GA
01
309504
WELLCARE
GA
Enumeration date
05/12/2006
Last updated
06/29/2010
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