Organization
MARIETTA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOAN M CRUZ (PRESIDENT/OWNER)
(404) 630-9957
Entity
Organization
Contact information
Practice address
445 WINDY HILL RD SE, SUITE 200, MARIETTA, GA 30060-7342
(770) 431-9533
(770) 431-9535
Mailing address
445 WINDY HILL RD SE, SUITE 200, MARIETTA, GA 30060-7342
(770) 431-9533
(770) 431-9535
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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