Individual
MARISSA ALLEN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2764 W MAIN ST, SNELLVILLE, GA 30078-5708
(770) 978-3388
(770) 978-0807
Mailing address
2764 W MAIN ST, SNELLVILLE, GA 30078-5708
(678) 884-0155
(770) 995-0794
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-NP315110
GA
Other
Enumeration date
05/07/2025
Last updated
01/07/2026
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