Individual
MARJORIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, STE H122, ATLANTA, GA 30322-1059
(404) 778-3451
Mailing address
1364 CLIFTON RD NE, STE H122, ATLANTA, GA 30322-1059
(404) 778-3712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
634
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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