Organization
MARIETTA NEONATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE C BRACY (OFFICE MANAGER)
(770) 427-4800
Entity
Organization
Contact information
Practice address
800 KENNESAW AVE NW, SUITE 200, MARIETTA, GA 30060-1051
(770) 427-4800
(770) 427-3610
Mailing address
PO BOX 4214, MARIETTA, GA 30061-4214
(770) 427-4800
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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