Individual
MARC ANTHONY CHETTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 BARRON DR, CLARKESVILLE, GA 30523-5501
(706) 754-1011
Mailing address
480 BARRON DR, CLARKESVILLE, GA 30523-5501
(706) 754-1011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
035025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474042A
—
GA
Enumeration date
12/29/2005
Last updated
07/08/2007
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