Individual
MARINA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2185 GLENHURST DR, SNELLVILLE, GA 30078-6781
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN173004
GA
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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