Individual
MARIAN WILIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
340 KENNESTONE HOSPITAL BLVD, LL20, MARIETTA, GA 30060-1152
(770) 793-6290
(678) 337-7354
Mailing address
340 KENNESTONE BOULEVARD, LL20, MARIETTA, GA 30060-1101
(770) 793-6290
(678) 337-7354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN251995
GA
Other
Enumeration date
02/29/2016
Last updated
03/17/2016
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