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Individual

MARC A TANENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6300 POWERS FERRY ROAD, SUITE 600, POB 200, ATLANTA, GA 30339-2961
(404) 654-0426
(678) 806-0900
Mailing address
6300 POWERS FERRY ROAD, SUITE 600, POB #202, ATLANTA, GA 30339-2961
(404) 654-0426
(678) 806-0900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
019429
GA

Other

Enumeration date
05/22/2006
Last updated
04/28/2010
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