Individual
MRS. VIRGINIA THORNTON MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 422-1372
Mailing address
3375 SPRING HILL PKWY SE, APT 1505, SMYRNA, GA 30080-8697
(706) 284-2064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5966
GA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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