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Individual

MAIRIN JEROME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 MARIETTA ST NW STE 3100, ATLANTA, GA 30303-2731
(401) 301-6247
Mailing address
371 E PACES FERRY RD NE STE 802, ATLANTA, GA 30305-3292
(404) 783-7247

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
304917-01
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
87501
GA
208100000X
Physical Medicine & Rehabilitation Physician
DR.0062830
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2015
Last updated
02/19/2025
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