Individual
ZWADE J MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
874 LANIER AVE W STE 250, FAYETTEVILLE, GA 30214-7662
(404) 618-0995
Mailing address
874 LANIER AVE W STE 250, FAYETTEVILLE, GA 30214-7662
(404) 618-0995
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
262007
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
076420
GA
Other
Enumeration date
04/14/2011
Last updated
02/15/2021
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