Individual
SALLY J MARCUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 HAMMOND DR NE, STE E 5250, ATLANTA, GA 30328-5338
(404) 256-2688
(404) 256-1820
Mailing address
333 SANDY SPRINGS CIR NE, STE 207, ATLANTA, GA 30328-3897
(404) 705-8990
(404) 705-9984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327522D
—
GA
Enumeration date
07/29/2005
Last updated
07/08/2007
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