Organization
MARIETTA HEALTHCARE ASSOCIATES, LLC
Active
Other names
Southern Healthcare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON E MEDRANO (MANAGING MEMBER OF LLC)
(770) 792-0927
Entity
Organization
Contact information
Practice address
2759 DELK RD SE, SUITE 101, MARIETTA, GA 30067-8847
(770) 792-0927
Mailing address
PO BOX 6881, MARIETTA, GA 30065-0881
(770) 792-0927
(770) 792-7893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7142
GA
111N00000X
Chiropractor
Primary
8031
GA
207R00000X
Internal Medicine Physician
022067
GA
Other
Enumeration date
05/25/2007
Last updated
09/11/2025
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