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Individual

MARC TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5670 PEACHTREE DUNWOODY RD, SUITE 1100, ATLANTA, GA 30342-1699
(404) 851-2368
Mailing address
5670 PEACHTREE DUNWOODY RD, SUITE 1100, ATLANTA, GA 30342-1699

Taxonomy

Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH-024433
GA

Other

Enumeration date
09/21/2016
Last updated
09/21/2016
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