Individual
MARISA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2124 CANDLER RD STE 500, DECATUR, GA 30032-5572
(404) 836-0272
(404) 284-9027
Mailing address
2124 CANDLER RD STE 500, DECATUR, GA 30032-5572
(404) 836-0272
(404) 284-9027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134U6
—
NC
Enumeration date
03/16/2006
Last updated
09/03/2020
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