Individual
MARILYN DIGAMON-BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1041 PARK DR, GREENSBORO, GA 30642
(706) 453-4945
(706) 453-1441
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
(706) 453-4114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27031
GA
207R00000X
Internal Medicine Physician
027031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000299912A
—
GA
Enumeration date
10/26/2006
Last updated
06/25/2018
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