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Individual

JANET PAK MEMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1650 COUNTY SERVICES PARKWAY, MARIETTA, GA 30008-4010
(770) 739-3214
(770) 514-2811
Mailing address
1650 COUNTY SERVICES PARKWAY, MARIETTA, GA 30008-4010
(770) 739-3214
(770) 514-2811

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036115379
IL
207R00000X
Internal Medicine Physician
Primary
64415
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003204089A
GA
Enumeration date
10/17/2006
Last updated
03/28/2019
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