Individual
DR. MATTHEW MICHAEL MARSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 PERIMETER CTR N, SUITE 600, ATLANTA, GA 30346-2405
(678) 222-5228
(404) 250-1477
Mailing address
301 PERIMETER CTR N, SUITE 600, ATLANTA, GA 30346-2405
(678) 222-5228
(404) 250-1477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002085
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11391495
CAQH
GA
Enumeration date
08/03/2006
Last updated
07/08/2007
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