Individual
MARILYN FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4441 ATLANTA RD SE STE 217, SMYRNA, GA 30080
(770) 422-1372
(770) 423-9651
Mailing address
4441 ATLANTA RD SE STE 217, SMYRNA, GA 30080-6442
(770) 422-1372
(770) 423-9651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35872
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35872
GA
207RP1001X
Pulmonary Disease Physician
Primary
35872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506503A
—
GA
Enumeration date
07/21/2005
Last updated
06/23/2021
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