Individual
MR. MICHAEL A MARCECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
123 ELLIS RD, STE A, FAYETTEVILLE, GA 30214-1483
(770) 461-7664
(770) 461-1676
Mailing address
123 ELLIS RD, STE A, FAYETTEVILLE, GA 30214-1483
(770) 461-7664
(770) 461-1676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52153978
BCBS
—
Enumeration date
10/25/2005
Last updated
09/08/2010
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