Organization
MEHAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A MARSH (PRESIDENT)
(770) 771-2487
Entity
Organization
Contact information
Practice address
1211 INDIAN TRAIL RD, NORCROSS, GA 30093-4502
(770) 807-0810
Mailing address
1211 INDIAN TRAIL RD, NORCROSS, GA 30093-4502
(770) 807-0810
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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